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Contact Information

GREEN MOUNTAIN HEALTHCARE SERVICES LLC
2311 N MESA ST STE H
EL PASO, TX79902-3575
 Phone: 915-500-4883
 Fax: 915-275-5510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GREEN MOUNTAIN HEALTHCARE SERVICES LLC

NPI # 1053046623
LBN Legal business name GREEN MOUNTAIN HEALTHCARE SERVICES LLC
Authorized official ROBERTO FLORES - (ADMINISTRATOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2022
Last updated 07/19/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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