Healthcare Provider Details
I. General information
NPI: 1598561300
Provider Name (Legal Business Name): WEST WHARTON COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14300 PEBBLE HILLS BLVD
EL PASO TX
79938-2467
US
IV. Provider business mailing address
14300 PEBBLE HILLS BLVD
EL PASO TX
79938-2467
US
V. Phone/Fax
- Phone: 915-955-9998
- Fax:
- Phone: 915-955-9998
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHNNY
THOMPSON
Title or Position: DISTRICT ADMINISTRATOR
Credential:
Phone: 361-771-6391