Odessa Texas Hospital Company LLC
Organization Active NPI General Acute Care Hospital · Odessa, TX
NPI 1306673009 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1306673009
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- ODESSA TEXAS HOSPITAL COMPANY LLC
- Practice address
- 520 E 6TH St
Odessa, TX 79761-4527 - Phone
- (432) 582-8000
- NPI assigned
- Sep 17, 2024
- Organization subpart
- No
Authorized official
- Name
- Mrs. Laura Fey
- Title
- VP Physician Services Financial Ops
- Phone
- (615) 221-3641
Corporate family (same tax ID) 1
Facilities with the same owner 32
Practitioners 28
-
Teresa L Armendariz, MBA,MSN, RN
-
Jose Bato Benigno Jr., M.D.
-
Salim K Bharwani, M.D.
-
Jose Domil Bueno, M.D.
-
Ahmed Hassan, MD
-
Laura Ann Johnson, M.D.
-
Imran A Khan, MD
-
Benjamin Long, MD
-
Yemisi Aderemi Oduwole, M.D.
-
Sanjay P Patel, M.D.
-
Pill G Raja, M.D.
-
Patricia Lynn Ramsay, MD, PHD
-
Luis Valencia, M.D.
-
Renat Arslanov, MD
Affiliated clinicians 137
-
Bonita Denise Abraham, FNP-C
-
Chad Nicholas Adams, P.A.
-
Madhava Agusala, M.D.
-
Vasantha Agusala, M.D
-
Jorge G. Alamo, M.D.
-
Sridhar Reddy Allam, M.D., M.P.H.
-
Errol Claude Anderson, M.D.
-
Grace Castillo Andrade, PA-C
-
Steven Ashlock, M. D.
-
Bret Alan Baker, PA
-
Mamoun E Bashir, MD
-
Dee A Bean, PA-C
-
Allie Christine Black, PA-C
-
Carl D Brown, D.O.
-
Hillary Elizabeth Brunner, D.P.M.
-
Kelly Kay Burrows, FNP
-
Shannon Lee Campbell, AGACNP-BC
-
Bonnie C Carter, MD
-
Monica Cervantes, DPM
Medicare Care Compare: Hospital
- Listed as
- Odessa Regional Medical Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Odessa Regional Medical Center
- Ownership
- For profit
- Certified
- Oct 1, 2008
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospital certification: CCN 450661
- Legal name
- ODESSA TEXAS HOSPITAL COMPANY LLC
- Doing business as
- ODESSA REGIONAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jun 1, 1975
- Last certification
- May 9, 2024
- Beds
- 230
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Oct 17, 2024 (2 total)
- Organization structure
- LLC
- Enrollment address
- 520 E 6TH St
Odessa, TX 79761-4527 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Secure Health, Inc/Claims Network, LLC |
5% Or Greater Indirect Ownership Interest | Sep 6, 2024 | 21.48% |
| Henry Kunath |
Corporate Officer |
Sep 6, 2024 | |
| Corporate Director |
Sep 6, 2024 | ||
| Quorum Health Corporation |
5% Or Greater Indirect Ownership Interest | Sep 6, 2024 | 100% |
| Goldentree Quorum Health Offshore I LTD |
5% Or Greater Indirect Ownership Interest | Sep 6, 2024 | 14.15% |
| Gtam Onshore Blocker 2 LLC |
5% Or Greater Indirect Ownership Interest | Sep 6, 2024 | 26.72% |
| Goldentree Distressed Fund III (Cayman) Carry LP |
5% Or Greater Indirect Ownership Interest | Sep 6, 2024 | 5.13% |
| Goldentree Distressed Onshore Master Fund III LP |
5% Or Greater Indirect Ownership Interest | Sep 6, 2024 | 15.81% |
| Laura Fey |
Corporate Director |
Sep 6, 2024 | |
| Goldentree Select Offshore Intermediate Fund LP |
5% Or Greater Indirect Ownership Interest | Sep 6, 2024 | 10.33% |
| Quorum Health Investment Company LLC |
5% Or Greater Direct Ownership Interest | Sep 6, 2024 | 100% |
| Stacey Lee Brown |
Contracted Managing Employee |
Oct 17, 2024 | |
| Goldentree Distressed Master Fund III LTD |
5% Or Greater Indirect Ownership Interest | Sep 6, 2024 | 21.48% |
| Goldentree Quorum Health Offshore II LTD |
5% Or Greater Indirect Ownership Interest | Sep 6, 2024 | 12% |
| Quincy Health LLC |
5% Or Greater Indirect Ownership Interest | Sep 6, 2024 | 100% |
| Steven W Frantz |
Corporate Officer |
Sep 6, 2024 | |
| Corporate Director |
Sep 6, 2024 | ||
| Julie Manas |
Corporate Officer |
Sep 6, 2024 | |
| Corporate Director |
Sep 6, 2024 | ||
| Donald Esposito |
Corporate Officer |
Sep 6, 2024 | |
| Corporate Director |
Sep 6, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250307001579 | TX | Part a Provider - Hospital | 8123549003 | Practice locations: Odessa, TX |
National Provider Directory
- Tax ID family
- Odessa Texas Hospital Company LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
520 E 6TH St
Odessa, TX 79761-4527
Mailing address
1573 Mallory LN Ste 100
Brentwood, TN 37027-2895
Other names
- Odessa Regional Medical Center
Other providers in Odessa, TX
- Odessa Reproductive Medicine Center
- Odessa Sleep Associates
- Odessa Surgical Associates PA
- Odessa Surgical Services, PLLC
- Odessa Texas Hospital Company LLC
- Odessa TX Caregiving LLC
- Odessa Vision Center PLLC
- Kolawole Odumusi
- Odyssey Healthcare Operating a LP
- Sylvester Emeka Ogbede
All providers in Odessa, TX · General Acute Care Hospital in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.