Aliviane, Inc. | |
1626 Medical Center Dr El Paso TX 79902-5010 | |
(915) 782-4000 | |
(915) 778-3342 |
Full Name | Aliviane, Inc. |
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Speciality | Clinic/Center |
Location | 1626 Medical Center Dr, El Paso, Texas |
Authorized Official Name and Position | Luci M Silva (FINANCIAL SERVICES ADMINISTRATOR) |
Authorized Official Contact | 9157824000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aliviane, Inc. Po Box 1769 El Paso TX 79949-1769 Ph: (915) 782-4000 | Aliviane, Inc. 1626 Medical Center Dr El Paso TX 79902-5010 Ph: (915) 782-4000 |
NPI Number | 1356557425 |
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Provider Enumeration Date | 05/15/2007 |
Last Update Date | 12/18/2019 |
Certification Date | 12/18/2019 |
Medicare PECOS PAC ID | 5991988172 |
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Medicare Enrollment ID | O20210127002207 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356557425 | NPI | - | NPPES |
280817 | Other | TX | CARF |
402 | Other | TX | TX DEPT OF STATE HEALTH SERVICES |
125968105 | Medicaid | TX |
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