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EL PASO COMMUNITY MHMR NPI 1598123713


NPI Information

NPI: 1598123713
Provider Name: EL PASO COMMUNITY MHMR
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

CLIA Number: 45D1036125

Address:
1600 MONTANA AVE
EL PASO, TX
ZIP 79902
Phone: (915) 887-3410
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EL PASO COMMUNITY MHMR is a developmental disabilities clinic center in El Paso, TX. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). EL PASO COMMUNITY MHMR NPI is 1598123713. The provider is registered as an organization entity type.

The provider's business location address is:

1600 MONTANA AVE
EL PASO, TX
ZIP 79902-622
Phone: (915) 887-3410
Fax: (833) 429-7587

The provider's authorized official is Ashley Sandoval .
The authorized official title is Assoc Ceo and has the following contact phone number (915) 603-8045.

The CLIA number assigned to this NPI record is 45D1036125 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2016 and was last updated on 11/14/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthNo
3261Q00000XClinic/CenterNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5261QM1300XClinic/CenterMulti-SpecialtyNo
6261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1355738101MEDICAIDTEXAS
2127376505MEDICAIDTEXAS

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

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