MEDELLA HEALTHCARE INC. NPI 1144865809

NPI Information

NPI: 1144865809
Provider Name: MEDELLA HEALTHCARE, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 45D2274308

Address:
702 E YANDELL DR
EL PASO, TX
ZIP 79902
Phone: (915) 955-2525
Get Directions

MEDELLA HEALTHCARE, INC. is a rehabilitation and substance use disorder clinic center in El Paso, TX. MEDELLA HEALTHCARE, INC. NPI is 1144865809. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

702 E YANDELL DR
EL PASO, TX
ZIP 79902-314
Phone: (915) 955-2525
Fax: (915) 201-1318

The provider's authorized official is Erika Tavarez .
The authorized official title is Owner and has the following contact phone number (915) 540-5195.

The CLIA number assigned to this NPI record is 45D2274308 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2019 and was last updated on 1/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	175T00000X	Peer Specialist		No
2	246RM2200X	Technician, Pathology	Medical Laboratory	No
3	251E00000X	Home Health		No
4	251F00000X	Home Infusion		No
5	251S00000X	Community/Behavioral Health		No
6	253Z00000X	In Home Supportive Care		No
7	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	32072474136	OTHER	TEXAS	COMPTROLLER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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