Country Club Medical Center LLC
NPI 1508269523 · Internal Medicine Physician · El Paso, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Country Club Medical Center LLC is a Internal Medicine Physician organization in El Paso, TX (NPI 1508269523).
Provider details
- NPI number
- 1508269523
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tracy Short, Owner(915) 474-2454
- License
- J0549 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-10-04
- Last updated
- 2014-12-12
Frequently asked questions
- What is Country Club Medical Center LLC's NPI number?
- Country Club Medical Center LLC's National Provider Identifier (NPI) is 1508269523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Club Medical Center LLC?
- Country Club Medical Center LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Country Club Medical Center LLC located?
- Country Club Medical Center LLC's practice location on file with NPPES is 8041 N Mesa St, El Paso, TX 79932-1735.
- What is Country Club Medical Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Country Club Medical Center LLC is (915) 474-2454.
- Does Country Club Medical Center LLC accept Medicare?
- Country Club Medical Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Country Club Medical Center LLC?
- The authorized official listed on Country Club Medical Center LLC's NPPES record is Tracy Short, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Club Medical Center LLC's NPI active?
- Yes — Country Club Medical Center LLC's NPI (1508269523) is active in the NPPES registry as of the last update on 2014-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.