Provider Demographics
NPI:1194890103
Name:EL PASO LTACH PARTNERS, LP
Entity type:Organization
Organization Name:EL PASO LTACH PARTNERS, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:INFECTION CONTROL
Authorized Official - Prefix:MS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HIDALGO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:915-546-5822
Mailing Address - Street 1:1221 N COTTON ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3015
Mailing Address - Country:US
Mailing Address - Phone:915-546-5827
Mailing Address - Fax:915-546-5820
Practice Address - Street 1:1221 N COTTON ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3015
Practice Address - Country:US
Practice Address - Phone:915-546-5827
Practice Address - Fax:915-546-5820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008413282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX452122OtherCMS CCN