Provider Demographics
NPI:1609160282
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 OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:N
Authorized Official - Last Name:VALENTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-521-7839
Mailing Address - Street 1:4824 ALBERTA AVE
Mailing Address - Street 2:SUITE 403
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2725
Mailing Address - Country:US
Mailing Address - Phone:915-521-7839
Mailing Address - Fax:915-521-7980
Practice Address - Street 1:4824 ALBERTA AVE
Practice Address - Street 2:SUITE 403
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2725
Practice Address - Country:US
Practice Address - Phone:915-521-7839
Practice Address - Fax:915-521-7980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207V00000X
TXE9432261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning FacilityGroup - Multi-Specialty