MEDICARE: EL PASO SPECIALTY HOSPITAL LTD

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	282N00000X	General Acute Care Hospital	007282	TX
2	282N00000X	General Acute Care Hospital		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	HH1001	OTHER	TX	BLUE CROSS PROVIDER NUMBE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366427130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL PASO SPECIALTY HOSPITAL LTD

Provider Business Mailing Address
First Line	:	1755 CURIE DRIVE
Second Line	:	SUITE A
City	:	EL PASO
State	:	TX
Zip	:	79902-2919
Country	:	US
Telephone Number	:	915-544-3636
Fax Number	:	915-544-6114

Provider Business Practice Location Address
First Line	:	1755 CURIE DRIVE
Second Line	:	SUITE A
City	:	EL PASO
State	:	TX
Zip	:	79902-2919
Country	:	US
Telephone Number	:	915-544-3636
Fax Number	:	915-544-6114

Authorized Official
Title or Position	:	CEO
Name	:	MRS. IRENE H CHAVEZ
Credential	:
Telephone Number	:	915-544-3636

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	08/14/2009

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Directions to “EL PASO SPECIALTY HOSPITAL LTD ” Practice Location

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