Active NPI
William Beaumont Army Medical Center
- General Acute Care Hospital
- El Paso, TX
National Provider Identifier
1750707287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- WILLIAM BEAUMONT ARMY MEDICAL CENTER
- Practice address
- 5005 N Piedras St
El Paso, TX 79920-5001 - Phone
- (915) 742-2698
- NPI assigned
- Mar 7, 2014
- Last updated
- Mar 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Pallis, MD
- Title
- DCCS
- Phone
- (915) 742-2360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
5005 N Piedras St
El Paso, TX 79920-5001
Mailing address
5005 N Piedras St
El Paso, TX 79920-5001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114975067 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394150400000",
"number": "1750707287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-742-2698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-07",
"last_updated": "2014-03-07",
"status": "A",
"authorized_official_last_name": "PALLIS",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "DCCS",
"authorized_official_telephone_number": "915-742-2360",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114975067",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
- William Beaumont Army Medical Center
- William Beaumont Army Medical Center
- William Beaumont Army Medical Center
- William Beaumont Army Medical Center (Mendoza Soldier Family Care Clinic)
- William Beaumont Army Medical Center
- William Beaumont Army Medical Center
- William Beaumont Army Medical Center-Army Substance Abuse Program
- William C. Foote, M.D. PA
- William W Follett III MD
- William W. Spurbeck, M.D., P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.