| The Hospitals Of Providence Memorial Campus | |
|
2001 N Oregon St El Paso TX 79902-3320 | |
| (915) 577-6625 | |
| (915) 577-6109 |
| Full Name | The Hospitals Of Providence Memorial Campus |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2001 N Oregon St, El Paso, Texas |
| Authorized Official Name and Position | Victoria Gonzalez (CFO) |
| Authorized Official Contact | 9155776625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Hospitals Of Providence Memorial Campus Po Box 849941 Dallas TX 75284-9941 Ph: (915) 577-6625 | The Hospitals Of Providence Memorial Campus 2001 N Oregon St El Paso TX 79902-3320 Ph: (915) 577-6625 |
| NPI Number | 1891117966 |
|---|---|
| Provider Enumeration Date | 01/09/2014 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Medicare PECOS PAC ID | 5597675579 |
|---|---|
| Medicare Enrollment ID | O20140630001641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891117966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Secondary |
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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