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 |