PROVIDENCE MEMORIAL HOSPITAL
NPI 1215952411
Skilled Nursing Facility in El Paso, TX
NPI Status: Active since July 12, 2006
Contact Information
2001 N OREGON ST
EL PASO, TX
ZIP 79902
Phone: (915) 577-6011
- Organization
- Skilled Nursing Facility
- CLIA Number: 45D0664138
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-02-2027
About PROVIDENCE MEMORIAL HOSPITAL
This page provides the complete NPI Profile along with additional information for Providence Memorial Hospital, a provider established in El Paso, Texas operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1215952411 assigned on July 2006. The practitioner's primary taxonomy code is 314000000X with license number 000130 (TX). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Providence Memorial Hospital. The authorized official of this NPI record is Victoria Gonzalez (Cfo)
- NPI
- 1215952411
- Provider Legal Name
- TENET HOSPITALS LIMITED
- Other Organization Name
- PROVIDENCE MEMORIAL HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2001 N OREGON ST EL PASO, TX 79902
- Location Phone
- (915) 577-6011
- Mailing Address
- PO BOX 849941 DALLAS, TX 75284
- Mailing Phone
- (915) 577-8358
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-12-2006
- Last Update Date
- 05-03-2022
- Code Navigator
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is for profit and was certified on 01-01-1994 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 000130
- License State
- TX
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- PROVIDENCE MEMORIAL HOSPITAL has an ownership type of For profit
- The facility received it's medicare certification date on 01-01-1994
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | Not Available - Data not available for this reporting period. |
| Brain disease or condition (non-traumatic) | Not Available - Data not available for this reporting period. |
| Brain injury (traumatic) | Not Available - Data not available for this reporting period. |
| Hip or femur fracture | Not Available - Data not available for this reporting period. |
| Hip or knee replacement, amputation or other bone or joint condition | Not Available - Data not available for this reporting period. |
| Nervous system disorder (excluding stroke) | Not Available - Data not available for this reporting period. |
| Spinal cord disease or condition (non-traumatic) | Not Available - Data not available for this reporting period. |
| Spinal cord injury (traumatic) | Not Available - Data not available for this reporting period. |
| Stroke | Not Available - Data not available for this reporting period. |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0664138
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- DR. RODOLFO LAUCIRICA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Providence Memorial Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215952411, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
EL PASO, TX 79902
EL PASO, TX 79902
EL PASO, TX 79902
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215952411, enumerated as an "organization" on July 12, 2006.
The provider is located at 2001 N OREGON ST EL PASO, TX 79902 and the phone number is (915) 577-6011.
Skilled Nursing Facility with taxonomy code 314000000X.