=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891727475
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RHSC EL PASO, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/06/2006
-----------------------------------------------------
Last Update Date | 03/24/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1740 CURIE DR
-----------------------------------------------------
City | EL PASO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79902-2901
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-544-3399
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 849994
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75284-0001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-577-8358
-----------------------------------------------------
Fax | 915-541-7714
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | JESSICA MORGAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 915-832-2700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 283X00000X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Hospital
-----------------------------------------------------
License Number | 000638
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------