Provider Demographics
NPI:1942253398
Name:EL PASO HEALTHCARE SYSTEM LTD
Entity Type:Organization
Organization Name:EL PASO HEALTHCARE SYSTEM LTD
Other - Org Name:LAS PALMAS MEDICAL CENTER, A CAMPUS OF LAS PALMAS DEL SOL HEALTHCARE
Other - Org Type:Doing Business As
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 1:300 WAYMORE DRIVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1604
Mailing Address - Country:US
Mailing Address - Phone:915-595-9000
Mailing Address - Fax:915-544-5203
Practice Address - Street 1:300 WAYMORE DRIVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1604
Practice Address - Country:US
Practice Address - Phone:915-595-9000
Practice Address - Fax:915-544-5203
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EL PASO HEALTHCARE SYSTEM LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-18
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========799020002OtherTRICARE REHAB
=========799250000OtherTRICARE REHAB
=========799020002OtherTRICARE REHAB
45T107Medicare Oscar/Certification