Provider Demographics
NPI:1316936990
Name:EL PASO COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:EL PASO COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-521-7600
Mailing Address - Street 1:4815 ALAMEDA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2705
Mailing Address - Country:US
Mailing Address - Phone:915-544-1200
Mailing Address - Fax:915-521-7879
Practice Address - Street 1:4815 ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2705
Practice Address - Country:US
Practice Address - Phone:915-544-1200
Practice Address - Fax:915-521-7879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-17
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QU0200X
TX00263282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138951205OtherCIDC PRO FEE
TX138951204Medicaid
TX138951213Medicaid
TX092072001Medicaid
TX138951209Medicaid
TX138951212Medicaid
TXHH0333OtherBLUE CROSS
TX138951203Medicaid
TX138951210OtherCIDC HOSP UB
TX450024A000000OtherSECTION1011
NM10004610Medicaid
NM00000893Medicaid
TX092072002Medicaid
TX080514501Medicaid
TX138951211Medicaid
TX138951204Medicaid
TX450024A000000OtherSECTION1011
TX458619Medicare ID - Type UnspecifiedMEDICARE # CLINIC
TX138951211Medicaid
TX138951209Medicaid