Methodist Hospital Levelland
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Levelland, TX
NPI 1154438588 · NPPES record last updated May 6, 2025
Key facts
- NPI
- 1154438588
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 000307 (TX)
- Legal business name
- METHODIST HOSPITAL LEVELLAND
- Practice address
- 1900 College Ave
Levelland, TX 79336 - Phone
- (806) 894-4963
- Fax
- (806) 894-6461
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Donald W Anderson Jr.
- Title
- Assistant Secretary of Enrollments
- Phone
- (425) 358-9786
Owners & managing parties with NPI records 3
-
Deette Edens, MSN, APRN, FNP-C
Other NPIs with the same Medicare PAC ID 5
Member of 1
Related certifications (CCN) 2
Facilities with the same owner 139
Practitioners 12
-
Amy Brooke Barrett, MSN, APRN, FNP-C
-
Amie Brogden, FNP
-
Allan Castillo Camacho, M.D.
-
Amy Charlene Land, APRN, FNP-C
-
Sabino Joshua Lopez, CRNA
-
Tommie Vidales, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospital certification: CCN 45U755
- Legal name
- METHODIST HOSPITAL LEVELLAND
- Doing business as
- COVENANT HOSPITAL LEVELLAND
- Organization structure
- Other · Non-profit
- Incorporated
- Aug 4, 1988 in TX
- Enrollment address
- 1900 College Ave
Levelland, TX 79336-6508 - Hospital subgroups
- Swing-bed approved
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Kathleen Burrell |
Corporate Officer |
Mar 1, 2023 | |
| Newman Wheeler |
Corporate Officer |
Feb 14, 2022 | |
| Corporate Director |
Jan 1, 2023 | ||
| Michael G Bailey |
Corporate Director |
Jan 1, 2023 | |
| Joel B White |
Corporate Director |
Oct 1, 2025 | |
| Rebecca Currington |
Corporate Director |
Jan 1, 2022 | |
| Providence Health & Services - Washington |
Operational/Managerial Control | Aug 1, 2020 | |
| Lisa Guzman |
Corporate Director |
Feb 23, 2023 | |
| Covenant Health System |
Other | Apr 1, 1999 | |
| Cora Rivera |
Corporate Officer |
Oct 31, 2023 | |
| Lubbock Methodist Hospital System |
Other | Apr 1, 1999 | 43% |
| Deette Edens |
Corporate Director |
Jan 1, 2023 | |
| Crystal Gonzales |
W-2 Managing Employee |
Jan 1, 2015 | |
| Kenneth Shipley |
Corporate Director |
Jan 1, 2023 | |
| Donald Wayne Anderson |
Corporate Officer |
Sep 1, 2020 | |
| Gregory David Hoffman |
Corporate Officer |
Jan 1, 2023 | |
| St. Joseph Health System |
Other | Apr 1, 1999 | 57% |
| Dyana Kerr |
W-2 Managing Employee |
Mar 1, 2023 | |
| Providence St. Joseph Health |
Other | Jul 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120313000475 | TX | Part a Provider - Hospital | 8527041037 | Practice locations: Levelland, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 000307 | TX | Yes |
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
- COVENANT HOSPITAL LEVELLAND
Other providers in Levelland, TX
- Gregory A McKay
- Mia Belle McKenzie
- Kelsey McMurry
- Methodist Hospital Levelland
- Methodist Hospital Levelland
- Methodist Hospital Levelland
- Methodist Hospital Levelland
- Methodist Hospital Levelland
- Methodist Hospital Levelland
- Elizabeth Jane Miller
All providers in Levelland, TX · Medicare Defined Swing Bed Hospital Unit in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.