Provider Demographics
| NPI: | 1841241544 |
|---|---|
| Name: | EL PASO HEALTHCARE SYSTEM LTD |
| Entity type: | Organization |
| Organization Name: | EL PASO HEALTHCARE SYSTEM LTD |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CFO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | MICHELLE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | HAYS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 915-521-1670 |
| Mailing Address - Street 1: | 1801 N OREGON ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | EL PASO |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 79902-3524 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 915-595-9000 |
| Mailing Address - Fax: | 915-544-5203 |
| Practice Address - Street 1: | 1801 N OREGON ST |
| Practice Address - Street 2: | |
| Practice Address - City: | EL PASO |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 79902-3524 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 915-595-9000 |
| Practice Address - Fax: | 915-544-5203 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-05-15 |
| Last Update Date: | 2019-05-15 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 282N00000X | Hospitals | General Acute Care Hospital |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| TX | 094188202 | Medicaid | |
| TX | 095183202 | Medicaid |