NPIMap

Organization Active NPI

East El Paso Physicians' Medical Center, LLC

Doing business as Legent Hospital of El Paso

  • General Acute Care Hospital
  • El Paso, TX
National Provider Identifier
1669655601
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
EAST EL PASO PHYSICIANS' MEDICAL CENTER, LLC
Doing business as
Legent Hospital of El Paso
Practice address
1416 George Dieter Drive
El Paso, TX 79936-7601
Phone
(915) 849-4749
Fax
(915) 598-4412
NPI assigned
Dec 13, 2007
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jose Rodriguez
Title
Cno
Phone
(915) 849-5133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X TX Primary

Addresses

Primary practice location

1416 George Dieter Drive
El Paso, TX 79936-7601

Mailing address

4090 Mapleshade LN Ste 200
Plano, TX 75093-0024
Phone (817) 421-1066

Other names 1

  • Legent Hospital of El Paso Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669655601. Details of each certification follow.

Hospital certification: CCN 450877

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LEGENT HOSPITAL OF EL PASO
Certification status
Terminated Voluntary: merger or closure, Jan 7, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Jan 19, 2004
Last certification
Aug 25, 2021
Beds
40
Ownership / control type
Private (for profit)
Most recent change of ownership
Jan 1, 2008 (1 total)
Facility address
1416 George Dieter
El Paso, TX 79936

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1400 George Dieter Dr
Ste 210
El Paso, TX 79936
Phone (915) 849-5110

1810 Murchison Dr
Ste 11
El Paso, TX 79902
Phone (915) 533-3136

1810 Murchison Dr
Ste 301A
El Paso, TX 79902
Phone (915) 849-4739

4090 Mapleshade Ln
Ste 200
Plano, TX 75093

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1669655601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 MAPLESHADE LN STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930024",
            "telephone_number": "817-421-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 GEORGE DIETER DRIVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367601",
            "telephone_number": "915-849-4749",
            "fax_number": "915-598-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST EL PASO PHYSICIANS' MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "CNO",
        "authorized_official_telephone_number": "915-849-5133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legent Hospital of El Paso",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legent Hospital of El Paso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.