Concho County Hospital District
Organization Active NPI Rural Health Clinic/Center · Eden, TX
NPI 1851885016 · NPPES record last updated Jun 17, 2026
Key facts
- NPI
- 1851885016
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- CONCHO COUNTY HOSPITAL DISTRICT
- Practice address
- 551 Eaker Street
Eden, TX 76837-0987 - Phone
- (325) 869-5911
- Fax
- (325) 869-5218
- NPI assigned
- Jun 20, 2018
- Organization subpart
- No
Authorized official
- Name
- Robert Pascasio
- Title
- Ceo
- Phone
- (325) 869-5911
Owners & managing parties with NPI records 5
-
Nneka Crystal Papillion, M.D.
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 4
Related certifications (CCN) 2
Facilities with the same owner 2
Practitioners 30
-
Maryanne Fisher, FNP-C
-
Brett Jason Nile, MD
-
Harper Neal Price, FNP
-
Michael Ross, PA
-
Calvin J Abor, P.A.
-
Alice B Blount, MD
-
Dona Nicole Coleman, APRN, FNP-C
-
William M. Davis, M.D.
-
David Ray East, DO
-
Afshin Edrissi, DO
-
Anne Catherine Hofer, M.D.
-
Lauren Knapp, NP
-
Lorina P Lujan, PA
-
Nneka Crystal Papillion, M.D.
-
Eduardo Sandoval, MD
-
Stanly T Selby, M.D.
Affiliated clinicians 15
-
Calvin J Abor, P.A.
-
Melissa Aleta, MD
-
Pedro Castro, DO
-
Gopimohan Das, M.D.
-
David Ray East, DO
-
Brett Jason Nile, MD
-
Harper Neal Price, FNP
-
Michael Ross, PA
-
Eduardo Sandoval, MD
-
Sarah K Guevara, FNP
Medicare Care Compare: Hospital
- Listed as
- Concho County Hospital
- Type
- Critical Access Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2157205 | Concho County Hospital Dba Concho Medical Clinic | Certificate of waiver | Oct 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Hospital certification: CCN 451325
- Legal name
- CONCHO COUNTY HOSPITAL DISTRICT
- Doing business as
- CONCHO COUNTY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Sep 1, 2001
- Last certification
- Sep 29, 2021
- Beds
- 16
- Ownership / control type
- Local
- Organization structure
- Other · Non-profit
- Enrollment address
- 614 Eaker St
Eden, TX 76837-0987
Rural health clinic certification: CCN 673487
- Legal name
- CONCHO COUNTY HOSPITAL DISTRICT
- Doing business as
- CONCHO MEDICAL CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Sep 24, 2020
- Last certification
- Aug 22, 2023
- Ownership / control type
- Non-profit – church related
- Organization structure
- Government · Non-profit
- Enrollment address
- 551 Eaker St
Eden, TX 76837-0987 - Related CCNs
- 451325
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Robert a Pascasio |
Corporate Director |
Aug 27, 2024 | |
| Operational/Managerial Control |
Aug 27, 2024 | ||
| Corporate Director |
Jan 1, 2025 | ||
| Deborah S Fort |
Corporate Director |
Jun 2, 2024 | |
| W-2 Managing Employee |
Jun 2, 2024 | ||
| Corporate Director |
Jan 1, 2025 | ||
| W-2 Managing Employee |
Jan 1, 2025 | ||
| Elizabeth P Ruiz |
W-2 Managing Employee |
Aug 19, 2024 | |
| W-2 Managing Employee |
Jan 1, 2025 | ||
| Concho County Hospital District |
Operational/Managerial Control | Nov 1, 2006 | |
| 5% Or Greater Direct Ownership Interest | Apr 12, 2019 | 100% | |
| Operational/Managerial Control | Jun 28, 2004 | 100% | |
| Nneka Crystal Papillion |
Corporate Director |
Jan 1, 2025 | |
| Operational/Managerial Control |
Oct 1, 2019 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Concho County Hospital |
Hospital | Operational/Managerial Control | Nov 1, 2006 |
| Concho County Hospital |
Hospital | Operational/Managerial Control | Dec 1, 2006 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070215000125 | TX | Part a Provider - Critical Access Hospital | 3971505298 |
Receives reassigned benefits from 12 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Eden, TX |
| O20200512001943 | TX | Part a Provider - Rural Health Clinic | 3971505298 | Practice locations: Eden, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
551 Eaker Street
Eden, TX 76837-0987
Mailing address
PO Box 987
Eden, TX 76837-0987
Phone (325) 869-5911
Other names
- Concho Medical Clinic
Other providers in Eden, TX
- City of Eden
- Concho County Hospital District
- Concho County Hospital District
- Concho County Hospital District
- Concho County Hospital District
- Concho County Rural Health Clinic
- Eden EMS Inc
- Eden Medical Clinic PA
- Joseph L Feldhaus
- Frontera Healthcare Network
All providers in Eden, TX · Rural Health Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.