| Concho Medical Clinic | |
|
814 West Broadway Street Eden TX 76837-0987 | |
| (325) 869-5911 | |
| (325) 869-5218 |
| Full Name | Concho Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 814 West Broadway Street, Eden, Texas |
| Authorized Official Name and Position | Brian Lady (CEO) |
| Authorized Official Contact | 3258695911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concho Medical Clinic Po Box 987 Eden TX 76837-0987 Ph: (325) 869-5911 | Concho Medical Clinic 814 West Broadway Street Eden TX 76837-0987 Ph: (325) 869-5911 |
| NPI Number | 1851885016 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 03/17/2020 |
| Medicare PECOS PAC ID | 3971505298 |
|---|---|
| Medicare Enrollment ID | O20200512001943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851885016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Frontera Healthcare Network - Eden Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Jackson Street, Eden, TX 76837 Phone: 325-869-8471 | |
Eden Medical Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 Eaker, Eden, TX 76837 Phone: 325-869-6171 Fax: 325-869-8118 | |
Frontera Healthcare Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 551 Eaker Street, Eden, TX 76837 Phone: 325-869-8811 Fax: 325-869-5692 | |
Concho County Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 South Main Street, Eden, TX 76837 Phone: 325-869-8811 Fax: 325-869-8899 |