Provider Demographics
NPI:1417277575
Name:EL PASO COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:EL PASO COUNTY HOSPITAL DISTRICT
Other - Org Name:UNIVERSITY MEDICAL CENTER OF EL PASO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICE
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-544-1200
Mailing Address - Street 1:4824 ALBERTA AVE
Mailing Address - Street 2:STE. 403
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2725
Mailing Address - Country:US
Mailing Address - Phone:915-544-1200
Mailing Address - Fax:915-521-7980
Practice Address - Street 1:12135 MONTWOOD DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4573
Practice Address - Country:US
Practice Address - Phone:915-544-1200
Practice Address - Fax:915-521-7980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9432261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility