1891727475 NPI number — RHSC EL PASO, INC.

Table of content: (NPI 1891727475)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891727475 NPI number — RHSC EL PASO, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RHSC EL PASO, INC.
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:
SIERRA PROVIDENCE PHYSICAL REHABILITATION HOSPITAL
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:
1891727475
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/24/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 849994
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:
75284-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-577-8358
Provider Business Mailing Address Fax Number:
915-541-7714

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1740 CURIE DR
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:
79902-2901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-544-3399
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MORGAN
Authorized Official First Name:
JESSICA
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
915-832-2700

Provider Taxonomy Codes

  • Taxonomy code: 283X00000X , with the licence number:  000638 , 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: 0211708-01 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: HH0841 . This is a "BCBS OF TEXAS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 453033B000000 . This is a "SECTION 1011" identifier . This identifiers is of the category "OTHER".
  • Identifier: 076538190 . This is a "AETNA US HEALTHCARE" identifier . This identifiers is of the category "OTHER".




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