The Hospitals of Providence Memorial Campus – General Acute Care Hospital, NPI 1700801909

The Hospitals of Providence Memorial Campus is a healthcare provider. based in Dallas, Texas. specializing in General Acute Care Hospital. The organization holds a License No. 000130 (TX). The NPI Number for The Hospitals of Providence Memorial Campus is 1700801909

Main info

Organization
Name
The Hospitals of Providence Memorial Campus
NPI
1700801909
Phone
(915) 577-8358
Address
PO BOX 849763
Authorized Official
VICTORIA GONZALEZ CFO
Enumeration Date
12 July 2006
Last Update Date
19 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for The Hospitals of Providence Memorial Campus

  • PO BOX 849763

    DALLAS, TX 752849763

    Phone: (915) 577-8358

    Fax: (915) 577-6109

    Type: Mailing

  • Providence Memorial Hospital, 2001, North Oregon Street, El Paso, El Paso County, Texas, 79902, United States

    EL PASO, TX 799023320

    Phone: (915) 577-6011

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-06-30 (343 days ago).

Enrollment records

1

Earliest due date

2025-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050510000873OHospitalTX2025-06-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75284)

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Reviews

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Frequently asked questions

What identifier follows The Hospitals of Providence Memorial Campus across health systems?
The NPI 1700801909 uniquely identifies The Hospitals of Providence Memorial Campus in U.S. healthcare data.
Quick check: is The Hospitals of Providence Memorial Campus active?
Public NPPES data shows The Hospitals of Providence Memorial Campus with an active NPI status right now.
What services align with The Hospitals of Providence Memorial Campus's listing?
The Hospitals of Providence Memorial Campus's public classification highlights General Acute Care Hospital. Clinical services aligned with this taxonomy classification.
What geographic area is tied to The Hospitals of Providence Memorial Campus?
The Hospitals of Providence Memorial Campus is associated with Dallas, Texas in the same public data insurers reference.
Can I export The Hospitals of Providence Memorial Campus's record?
You can download the official NPPES record; we summarize key fields for readability.

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