NPIMap

Organization Active NPI

Concho County Hospital District

Doing business as Concho Medical Clinic

  • Rural Health Clinic/Center
  • Eden, TX
National Provider Identifier
1851885016
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CONCHO COUNTY HOSPITAL DISTRICT
Doing business as
Concho Medical Clinic
Practice address
551 Eaker Street
Eden, TX 76837-0987
Phone
(325) 869-5911
Fax
(325) 869-5218
NPI assigned
Jun 20, 2018
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Pascasio
Title
Ceo
Phone
(325) 869-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

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 1

  • Concho Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1851885016. Details of each certification follow.

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
OtherNon-profit
Enrollment address
614 Eaker St
Eden, TX 76837-0987
Other Hospital Practice Location

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
GovernmentNon-profit
Enrollment address
551 Eaker St
Eden, TX 76837-0987
Related CCNs
451325

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Concho County HospitalCCN 451325 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2157205Concho County Hospital Dba Concho Medical Clinic551 Eaker St, Eden, TX 76837Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert a Pascasio Individual Corporate DirectorInterim Ceo Aug 27, 2024
Operational/Managerial ControlInterim Ceo Aug 27, 2024
Corporate DirectorInterim Ceo Jan 1, 2025
Deborah S Fort Individual Corporate DirectorIt Manager Jun 2, 2024
W-2 Managing EmployeeIt Manager Jun 2, 2024
Corporate DirectorIt Manager Jan 1, 2025
W-2 Managing EmployeeIt Manager Jan 1, 2025
Elizabeth P Ruiz Individual W-2 Managing EmployeeCredentials Manager Aug 19, 2024
W-2 Managing EmployeeCredentials Manager Jan 1, 2025
Concho County Hospital District Organization, Eden, TX Non-profit 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 Individual Corporate DirectorMedical Director Jan 1, 2025
Operational/Managerial ControlMedical Director Oct 1, 2019

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Concho County HospitalEden, TX, CCN 451325 Hospital Operational/Managerial Control Nov 1, 2006
Concho County HospitalEden, TX, CCN 45Z325 Hospital Operational/Managerial Control Dec 1, 2006

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

Affiliated clinicians 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1851885016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "768370987",
            "telephone_number": "325-869-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 EAKER STREET",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "768370987",
            "telephone_number": "325-869-5911",
            "fax_number": "325-869-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCHO COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "PASCASIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-869-5911"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concho Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concho Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eden, TX

Sources for this page

Verify at the official NPI Registry.