Active NPI
Vista Hills Medical Equipment Corp.
- Durable Medical Equipment & Medical Supplies
- El Paso, TX
National Provider Identifier
1972658102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0053948
- 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, 2010
- 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
- Mr. George Fernandez, CFO
- Title
- President
- Phone
- (915) 494-5027
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930041235 | TX | DME Supplier - Medical Supply Company With Orthotic Personnel | 3678685112 | Practice locations: El Paso, TX |
National Provider Directory
National Provider DirectoryLocations
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
- Visiting Nurse Association of El Paso, Inc
- Vista del Futuro Charter School District
- Vista Health Clinic & Rehab LLC
- Vista Hills Family Dental
- Vista Hills Health Care Center LP (Vista Hills Health Care Center)
- Vista Hills SNF LLC (Vista Hills Health Care Center)
- Vista Surgery Center LLC
- Visual Accents Optical
- Vital Move LLC
- Vital Pas Assisted Living LLC
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.