Healthcare Provider Details

I. General information

NPI: 1013993559
Provider Name (Legal Business Name): SCCI HOSPITAL - EL PASO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 CURIE DR
EL PASO TX
79902
US

IV. Provider business mailing address

1740 CURIE DR
EL PASO TX
79902-2901
US

V. Phone/Fax

Practice location:
  • Phone: 915-351-9044
  • Fax: 915-351-9044
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number007271
License Number StateTX

VIII. Authorized Official

Name: JOHNETTA TRAYLOR
Title or Position: DIR LICENSURE & CERTIFICATION
Credential:
Phone: 502-596-6063