| Aliviane, Inc. | |
|
1626 Medical Center Dr El Paso TX 79902-5010 | |
| (915) 782-4000 | |
| (915) 778-3342 |
| Full Name | Aliviane, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1626 Medical Center Dr, El Paso, Texas |
| Authorized Official Name and Position | Luci M Silva (FINANCIAL SERVICES ADMINISTRATOR) |
| Authorized Official Contact | 9157824000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aliviane, Inc. Po Box 1769 El Paso TX 79949-1769 Ph: (915) 782-4000 | Aliviane, Inc. 1626 Medical Center Dr El Paso TX 79902-5010 Ph: (915) 782-4000 |
| NPI Number | 1356557425 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 12/18/2019 |
| Certification Date | 12/18/2019 |
| Medicare PECOS PAC ID | 5991988172 |
|---|---|
| Medicare Enrollment ID | O20210127002207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356557425 | NPI | - | NPPES |
| 280817 | Other | TX | CARF |
| 402 | Other | TX | TX DEPT OF STATE HEALTH SERVICES |
| 125968105 | Medicaid | TX |
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