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
1	261QA1903X	Ambulatory Surgical Clinic/Center
2	261QE0002X	Emergency Care Clinic/Center
3	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1619747938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL PASO COUNTY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 202479
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75320-2479
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1416 GEORGE DIETER DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7601
Country	:	US
Telephone Number	:	915-521-2259
Fax Number	:

Authorized Official
Title or Position	:	MANAGER MANAGED CARE
Name	:	JACKLYN MARIE CASTANEDA
Credential	:
Telephone Number	:	915-359-5611

Provider Enumeration Date	:	01/08/2024
Last Update Date	:	05/19/2026

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Directions to “EL PASO COUNTY HOSPITAL DISTRICT ” Practice Location

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