1215969787 NPI number — TENET HOSPITALS LIMITED

Table of content: (NPI 1215969787)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215969787 NPI number — TENET HOSPITALS LIMITED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TENET HOSPITALS LIMITED
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THE HOSPITALS OF PROVIDENCE SIERRA CAMPUS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215969787
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/03/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 849941
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75284-9941
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-577-8358
Provider Business Mailing Address Fax Number:
915-747-2550

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1625 MEDICAL CENTER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79902-5005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-747-4000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ROSILLO
Authorized Official First Name:
MAYRA
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
915-577-6876

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  000266 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 133245401 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 133245405 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: XHSP32904 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 133245404 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: HH0724 . This is a "BCBS OF TEXAS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000A4563 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: XHSP42904 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 133245407 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 45-0668 . This is a "BC OF CALIFORNIA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 326362710 . This is a "AETNA US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 133245406 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 137965 . This is a "COVENTRY HEALTH CARE IOWA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 274908 . This is a "COVENTRY HEALTH CARE KANS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000435 . This is a "HUMANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 450668B000000 . This is a "SECTION 1011" identifier . This identifiers is of the category "OTHER".
  • Identifier: 75-2732072 . This is a "CIMARRON COMMERCIAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 75-2918809 . This is a "PRIVATE HEALTHCARE SYSTEM" identifier . This identifiers is of the category "OTHER".




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