NPIMap

Organization Active NPI

Pan American General Hospital

Doing business as Southwestern General Hospital

  • General Acute Care Hospital
  • El Paso, TX
National Provider Identifier
1679588396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000252 Issued in TX
Legal business name
PAN AMERICAN GENERAL HOSPITAL
Doing business as
Southwestern General Hospital
Practice address
1221 N Cotton St
El Paso, TX 79902-3015
Phone
(915) 496-9600
Fax
(915) 496-9641
NPI assigned
Jul 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Eduardo Martinez
Title
Ceo
Phone
91549696000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 000252 TX Primary

Addresses

Primary practice location

1221 N Cotton St
El Paso, TX 79902-3015

Mailing address

1221 N Cotton St
El Paso, TX 79902-3015
Phone (915) 496-9600

Other names 1

  • SOUTHWESTERN GENERAL HOSPITAL 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 2

The Medicare certification numbers (CCNs) connected to NPI 1679588396. Details of each certification follow.

Hospital certification: CCN 450019

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
SOUTHWESTERN GENERAL HOSPITAL
Certification status
Terminated Involuntary: failure to meet health/safety requirements, Jun 19, 1989
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 23, 1989
Beds
120 (89 certified)
Ownership / control type
Private (for profit)
Facility address
1221 North Cotton
El Paso, TX 79902

Hospital certification: CCN 450760

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
SOUTHWESTERN GENERAL HOSPITAL
Certification status
Terminated Voluntary: risk of involuntary termination, Aug 18, 2007
Provider type (POS)
Hospital – Short-term
Participating since
Aug 9, 1989
Last certification
Aug 10, 1992
Beds
120
Ownership / control type
Private (for profit)
Most recent change of ownership
Jun 29, 2001 (1 total)
Facility address
1221 N Cotton
El Paso, TX 79902

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679588396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N COTTON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023015",
            "telephone_number": "915-496-9600",
            "fax_number": "915-496-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N COTTON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023015",
            "telephone_number": "915-496-9600",
            "fax_number": "915-496-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN AMERICAN GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "91549696000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHWESTERN GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.