MEDICARE: ECTOR 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306249834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ECTOR COUNTY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1599 LOMALAND DRIVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935
Country	:	US
Telephone Number	:	915-593-1131
Fax Number	:	915-593-2938

Provider Business Practice Location Address
First Line	:	1599 LOMALAND DRIVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935
Country	:	US
Telephone Number	:	915-593-1131
Fax Number	:	915-593-2938

Authorized Official
Title or Position	:	CEO
Name	:	MR. WILLIAM WEBSTER
Credential	:
Telephone Number	:	432-640-2407

Provider Enumeration Date	:	09/29/2014
Last Update Date	:	09/29/2014

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Directions to “ECTOR COUNTY HOSPITAL DISTRICT ” Practice Location

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