Provider Demographics
NPI:1093192437
Name:CITY OF EL PASO TEXAS
Entity Type:Organization
Organization Name:CITY OF EL PASO TEXAS
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:915-212-1145
Mailing Address - Street 1:300 N CAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79901-1402
Mailing Address - Country:US
Mailing Address - Phone:915-212-6512
Mailing Address - Fax:915-212-0169
Practice Address - Street 1:300 N CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-1402
Practice Address - Country:US
Practice Address - Phone:915-212-6512
Practice Address - Fax:915-212-0169
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF EL PASO TEXAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
PH0007Medicare PIN