Organization Active NPI

Vista Hills Medical Equipment Corp.

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
National Provider Identifier
1972658102
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0053948 Issued in TX
Legal business name
VISTA HILLS MEDICAL EQUIPMENT CORP.
Practice address
1721 N Lee Trevino Dr
Suite 101a
El Paso, TX 79936-4521
Phone
(915) 592-7976
Fax
(915) 592-3555
NPI assigned
Jan 25, 2007
Last updated
Oct 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Mr. George Fernandez, CFO
Title
President
Phone
(915) 494-5027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0053948 TX Primary

Addresses

Primary practice location

1721 N Lee Trevino Dr
Suite 101a
El Paso, TX 79936-4521

Mailing address

1721 N Lee Trevino Dr
Suite 101a
El Paso, TX 79936-4521
Phone (915) 592-7976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930041235 TX DME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company With Pedorthic Personnel 3678685112 Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1721 N Lee Trevino Dr
#101
El Paso, TX 79936
Phone (915) 592-7976

1721 N Lee Trevino Dr
Ste 101A
El Paso, TX 79936
Phone (915) 592-7976

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1972658102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 N LEE TREVINO DR",
            "address_2": "SUITE 101A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364521",
            "telephone_number": "915-592-7976",
            "fax_number": "915-592-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 N LEE TREVINO DR",
            "address_2": "SUITE 101A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364521",
            "telephone_number": "915-592-7976",
            "fax_number": "915-592-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA HILLS MEDICAL EQUIPMENT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-494-5027",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0053948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.