NPIMap

Organization Active NPI

Methodist Hospital Levelland

Doing business as Covenant Hospital Levelland

  • Medicare Defined Swing Bed Hospital Unit
  • Levelland, TX
National Provider Identifier
1154438588
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
000307 Issued in TX
Legal business name
METHODIST HOSPITAL LEVELLAND
Doing business as
Covenant Hospital Levelland
Practice address
1900 College Ave
Levelland, TX 79336
Phone
(806) 894-4963
Fax
(806) 894-6461
NPI assigned
Aug 23, 2006
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald W Anderson Jr.
Title
Assistant Secretary of Enrollments
Phone
(425) 358-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 000307 TX Primary

Addresses

Primary practice location

1900 College Ave
Levelland, TX 79336

Mailing address

PO Box 677044
Dallas, TX 75267-7044
Phone (806) 894-4963

Other names 1

  • COVENANT HOSPITAL LEVELLAND Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120313000475 TX Part A Provider - Hospital 8527041037 Practice locations: Levelland, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154438588. Details of each certification follow.

Hospital certification: CCN 45U755

Legal name
METHODIST HOSPITAL LEVELLAND
Doing business as
COVENANT HOSPITAL LEVELLAND
Organization structure
OtherNon-profit
Incorporated
Aug 4, 1988 in TX
Enrollment address
1900 College Ave
Levelland, TX 79336-6508
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kathleen Burrell Individual Corporate OfficerCorporate Secretary Mar 1, 2023
Newman Wheeler Individual Corporate OfficerCeo Feb 14, 2022
Corporate DirectorBoard Member Jan 1, 2023
Michael G Bailey Individual Corporate DirectorBoard Member Jan 1, 2023
Joel B White Individual Corporate DirectorBoard Member Oct 1, 2025
Rebecca Currington Individual Corporate DirectorBoard Member Jan 1, 2022
Providence Health & Services - Washington Organization, Renton, WA Corporation, Non-profit Operational/Managerial Control Aug 1, 2020
Lisa Guzman Individual Corporate DirectorBoard Member Feb 23, 2023
Covenant Health System Organization, Lubbock, TX Corporation, Non-profit Other Apr 1, 1999
Cora Rivera Individual Corporate OfficerCfo Oct 31, 2023
Lubbock Methodist Hospital System Organization, Lubbock, TX Corporation, Non-profit Other Apr 1, 1999 43%
Deette Edens Individual Corporate DirectorBoard Member Jan 1, 2023
Crystal Gonzales Individual W-2 Managing EmployeeClinic Supervisor Jan 1, 2015
Kenneth Shipley Individual Corporate DirectorBoard Member Jan 1, 2023
Donald Wayne Anderson Individual Corporate OfficerAssistant Secretary of Enrollments Sep 1, 2020
Gregory David Hoffman Individual Corporate OfficerCfo/Treasurer Jan 1, 2023
St. Joseph Health System Organization, Irvine, CA Corporation, Non-profit Other Apr 1, 1999 57%
Dyana Kerr Individual W-2 Managing EmployeeRegional Financial Executive Mar 1, 2023
Providence St. Joseph Health Organization, Renton, WA Corporation, Non-profit Other Jul 1, 2016

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 139

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 139

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1154438588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677044",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752677044",
            "telephone_number": "806-894-4963",
            "fax_number": "806-894-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 COLLEGE AVE",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "79336",
            "telephone_number": "806-894-4963",
            "fax_number": "806-894-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HOSPITAL LEVELLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": "000307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COVENANT HOSPITAL LEVELLAND",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COVENANT HOSPITAL LEVELLAND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Levelland, TX

Sources for this page

Verify at the official NPI Registry.