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NPI Code Detail

MEDICARE: EL PASO LTACH PARTNER, LP

MEDICARE: EL PASO LTACH PARTNER, 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
1282E00000XLong Term Care Hospital841300TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1670026OTHERTXMEDICARE CCN

General Provider Information

NPI Number : 1568640837
Entity Type Code : Organization
Provider Name (Legal Business Name) : EL PASO LTACH PARTNER, LP
Provider Business Mailing Address
First Line : 1221 N COTTON ST
Second Line : 3RD FLR
City : EL PASO
State : TX
Zip : 79902-3015
Country : US
Telephone Number : 915-496-9687
Fax Number : 915-496-9695
Provider Business Practice Location Address
First Line : 1221 N COTTON ST
Second Line : 3RD FLR
City : EL PASO
State : TX
Zip : 79902-3015
Country : US
Telephone Number : 915-496-9687
Fax Number : 915-496-9695
Authorized Official
Title or Position : CEO
Name : MRS. EVELYN G STEWART
Credential : RN
Telephone Number : 915-496-9688
Provider Enumeration Date : 02/08/2008
Last Update Date : 02/08/2008

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

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