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
1	282E00000X	Long Term Care Hospital	841300	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	670026	OTHER	TX	MEDICARE 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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