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NPI Code Detail

MEDICARE: EL PASO COMMUNITY MHMR

MEDICARE: EL PASO COMMUNITY MHMR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center
2251S00000XCommunity/Behavioral Health Agency
3324500000XSubstance Abuse Rehabilitation Facility
43245S0500XChildren's Substance Abuse Rehabilitation Facility
5261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073968749
Entity Type Code : Organization
Provider Name (Legal Business Name) : EL PASO COMMUNITY MHMR
Provider Business Mailing Address
First Line : 1600 MONTANA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79902-5622
Country : US
Telephone Number : 915-877-3410
Fax Number : 915-351-4708
Provider Business Practice Location Address
First Line : 1551 MONTANA AVE.
Second Line :
City : EL PASO
State : TX
Zip : 79902-5668
Country : US
Telephone Number : 915-887-3410
Fax Number : 915-351-3643
Authorized Official
Title or Position : CHIEF OF REVENUE CYCLE
Name : MICHELLE SUZANNE APONTE-PACHECO
Credential : MBA, MSW
Telephone Number : 915-887-3410
Provider Enumeration Date : 04/29/2016
Last Update Date : 08/12/2025

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1235260779 — EL PASO COMMUNITY MHMR
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1295025278 — CELESTE S. NEVAREZ LPC
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1770968356 — MRS. SANDRA ADRIANA RIOS LCDC
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Directions to “EL PASO COMMUNITY MHMR ” Practice Location

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