MEDICARE: EL PASO COUNTY HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility		TX

General Provider Information

NPI Number	:	1962916726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL PASO COUNTY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1475 RAYNOLDS ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79903-3251
Country	:	US
Telephone Number	:	915-565-4677
Fax Number	:

Provider Business Practice Location Address
First Line	:	1475 RAYNOLDS ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79903-3251
Country	:	US
Telephone Number	:	915-565-4677
Fax Number	:	915-565-5118

Authorized Official
Title or Position	:	CEO
Name	:	JACOB CINTRON
Credential	:
Telephone Number	:	915-521-7626

Provider Enumeration Date	:	11/30/2017
Last Update Date	:	05/17/2021

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Directions to “EL PASO COUNTY HOSPITAL DISTRICT ” Practice Location

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