Organization
YSLETA DEL SUR PUEBLO COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN LOPEZ (HHS DIRECTOR)
(915) 858-1076
Entity
Organization
Contact information
Practice address
9473 SOCORRO RD, EL PASO, TX 79907
(915) 860-6113
(915) 860-6166
Mailing address
9473 SOCORRO RD, EL PASO, TX 79907-5619
(915) 858-1076
(915) 860-6166
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
17718
TX
261Q00000X
Clinic/Center
—
—
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
1603-1603A
TX
343800000X
Secured Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092524001
—
TX
05
—
4480063-01
—
TX
Enumeration date
11/08/2006
Last updated
11/20/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us