Provider Demographics
NPI:1700801909
Name:TENET HOSPITALS LIMITED
Entity Type:Organization
Organization Name:TENET HOSPITALS LIMITED
Other - Org Name:THE HOSPITALS OF PROVIDENCE MEMORIAL CAMPUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-577-6625
Mailing Address - Street 1:PO BOX 849763
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-9763
Mailing Address - Country:US
Mailing Address - Phone:915-577-8358
Mailing Address - Fax:915-577-6109
Practice Address - Street 1:2001 N OREGON ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3320
Practice Address - Country:US
Practice Address - Phone:915-577-6011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA1903X
TX000130282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130601103Medicaid
21954OtherCOVENTRY HEALTH CARE IOWA
450002B0000OtherSECTION 1011
AZ540725Medicaid
326362710OtherAETNA US HEALTHCARE
000432OtherHUMANA
NY01094682Medicaid
CO95017919Medicaid
KS200032650BMedicaid
450002OtherHORIZON NJ-BCBS HEALTH
NM00844Medicaid
FL097057300Medicaid
TX130601105Medicaid
TX130601101Medicaid
TX130601104Medicaid
HH0266OtherBCBS OF TEXAS
000432OtherHUMANA