EL PASO HEALTHCARE SYSTEM LTD

Provider Demographics

• NPI: 1023063914
• Name: EL PASO HEALTHCARE SYSTEM LTD
• Entity type: Organization
• Organization Name: EL PASO HEALTHCARE SYSTEM LTD
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: CFO
• Authorized Official - First Name: MICHELLE
• Authorized Official - Last Name: HAYS
• Authorized Official - Phone: 915-521-1670
• Mailing Address - Street 1: 10301 GATEWAY BLVD W
• Mailing Address - City: EL PASO
• Mailing Address - State: TX
• Mailing Address - Zip Code: 79925-7701
• Mailing Address - Country: US
• Mailing Address - Phone: 915-595-9000
• Mailing Address - Fax: 915-595-7224
• Practice Address - Street 1: 10301 GATEWAY BLVD W
• Practice Address - City: EL PASO
• Practice Address - State: TX
• Practice Address - Zip Code: 79925-7701
• Practice Address - Country: US
• Practice Address - Phone: 915-595-9000
• Practice Address - Fax: 915-595-7224
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-23
• Last Update Date: 2021-06-02

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital

Provider Identifiers

State	Identifier ID	ID Type	Issuer
GA	000910863X	Medicaid
CT	003121150	Medicaid
KS	100104530A	Medicaid
WA	3008281	Medicaid
OR	171715	Medicaid
LA	1760391	Medicaid
NM	A5115	Medicaid
AR	117514105	Medicaid
	177038500	Other	DEPT OF LABOR
TX	94188201	Medicaid
PA	100751510000	Medicaid
NC	4500646	Medicaid
MO	013359401	Medicaid
IA	0574939	Medicaid
CA	XHSP30188	Medicaid
VA	010031095	Medicaid
NY	01544816	Medicaid
TN	0450646	Medicaid
IN	200470840A	Medicaid
MA	7000316	Medicaid
CO	95000832	Medicaid
	HH0708	Other	BLUE CROSS
SD	0132060	Medicaid
NV	1189488	Medicaid
MI	304744629	Medicaid
FL	902661400	Medicaid
AZ	028482	Medicaid
OK	100701490A	Medicaid
AL	HOS0646N	Medicaid
AK	HS384IP	Medicaid
AK	HS384IP	Medicaid
	=========799250003	Other	TRICARE
IN	200470840A	Medicaid
MA	7000316	Medicaid
CO	95000832	Medicaid