Advanced Odessa Hospital & Clinics LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

ADVANCED ODESSA HOSPITAL & CLINICS LLC

Practice address

900 E 4TH St
Odessa, TX 79761-5255

Phone

(713) 790-1666

NPI assigned

Jul 25, 2023

Last updated

May 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tinna Gonzalez

Title

Business Office Director

Phone

(832) 207-8508

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174204994. Details of each certification follow.

• CCN 670323 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 670323

Legal name

ADVANCED ODESSA HOSPITAL & CLINICS

Certification status

Terminated Voluntary: merger or closure, Jul 10, 2024

Provider type (POS)

Hospital – Short-term

Participating since

Mar 5, 2024

Last certification

Mar 5, 2024

Beds

14

Ownership / control type

Physician ownership

Facility address

900 E 4TH St
Odessa, TX 79761

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lucky Chopra, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1285733956
  NPD (past)

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1174204994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 BAGBY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028594",
            "telephone_number": "713-790-1666",
            "fax_number": "713-383-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 4TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615255",
            "telephone_number": "713-790-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ODESSA HOSPITAL & CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "TINNA",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "832-207-8508"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahwish Adnan, MD
• Adolescent & Adult Allergy Center, P.a.
• Reshmi Adupa, MD
• Advanced Fertility Centers,LLC
• Advanced Neuroscience Clinic, PA (Advanced Sleep Center)
• Benjamin Luis Aguilar, FNP
• Miguel Angel Aguilar, PTA
• Angela N Aguirre, COTA
• Ashlea Aguirre
• Griselda Benavides Aguirre, O.D.

• General Acute Care Hospital in Odessa, TX
• Providers in Odessa, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.