Provider Demographics
NPI:1497927131
Name:EL PASO FIRST HEALTH PLAN, INC
Entity Type:Organization
Organization Name:EL PASO FIRST HEALTH PLAN, INC
Other - Org Name:EL PASO FIRST HEALTH PLANS, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROCIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-532-3778
Mailing Address - Street 1:1145 WESTMORELAND DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-5615
Mailing Address - Country:US
Mailing Address - Phone:915-532-3778
Mailing Address - Fax:915-298-7870
Practice Address - Street 1:1145 WESTMORELAND DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-5615
Practice Address - Country:US
Practice Address - Phone:915-532-3778
Practice Address - Fax:915-298-7870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX079936301Medicaid