MEDICARE: EL PASO LTACH PARTNERS, LP

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
1	282E00000X	Long Term Care Hospital	008413	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	452122	OTHER	TX	CMS CCN

General Provider Information

NPI Number	:	1194890103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL PASO LTACH PARTNERS, LP

Provider Business Mailing Address
First Line	:	1221 N COTTON ST
Second Line	:	3RD FLOOR
City	:	EL PASO
State	:	TX
Zip	:	79902-3015
Country	:	US
Telephone Number	:	915-546-5827
Fax Number	:	915-546-5820

Provider Business Practice Location Address
First Line	:	1221 N COTTON ST
Second Line	:	3RD FLOOR
City	:	EL PASO
State	:	TX
Zip	:	79902-3015
Country	:	US
Telephone Number	:	915-546-5827
Fax Number	:	915-546-5820

Authorized Official
Title or Position	:	INFECTION CONTROL
Name	:	MS. VANESSA HIDALGO
Credential	:	RN
Telephone Number	:	915-546-5822

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	03/14/2023

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Directions to “EL PASO LTACH PARTNERS, LP ” Practice Location

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