NPIMap

Organization Active NPI

Odessa Texas Hospital Company LLC

Doing business as Odessa Regional Medical Center

  • General Acute Care Hospital
  • Odessa, TX
National Provider Identifier
1306673009
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ODESSA TEXAS HOSPITAL COMPANY LLC
Doing business as
Odessa Regional Medical Center
Practice address
520 E 6TH St
Odessa, TX 79761-4527
Phone
(432) 582-8000
NPI assigned
Sep 17, 2024
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Mrs. Laura Fey
Title
VP Physician Services Financial Ops
Phone
(615) 221-3641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

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 1

  • Odessa Regional Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250307001579 TX Part A Provider - Hospital 8123549003 Practice locations: Odessa, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306673009. Details of each certification follow.

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
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Odessa Regional Medical CenterCCN 450661 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Odessa Regional Medical CenterCCN 45T661
Ownership
For profit
Certified
Oct 1, 2008

This is a unit of this hospital with its own CMS Certification Number. Care Compare reports it separately, and it has no NPI of its own. How units are connected

National Provider Directory

National Provider Directory
Tax ID family
Odessa Texas Hospital Company LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Secure Health, Inc/Claims Network, LLC Organization, New York, NY Investment firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 6, 2024 21.48%
Henry Kunath Individual Corporate OfficerSr Vice President/Treasurer/Cfo Sep 6, 2024
Corporate DirectorSr Vice President/Treasurer/Cfo Sep 6, 2024
Quorum Health Corporation Organization, Brentwood, TN Holding company, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 6, 2024 100%
Goldentree Quorum Health Offshore I LTD Organization, New York, NY Investment firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 6, 2024 14.15%
Gtam Onshore Blocker 2 LLC Organization, New York, NY Investment firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 6, 2024 26.72%
Goldentree Distressed Fund III (Cayman) Carry LP Organization, New York, NY Investment firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 6, 2024 5.13%
Goldentree Distressed Onshore Master Fund III LP Organization, New York, NY Investment firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 6, 2024 15.81%
Laura Fey Individual Corporate DirectorVP Physician Services Financial Ops Sep 6, 2024
Goldentree Select Offshore Intermediate Fund LP Organization, New York, NY Investment firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 6, 2024 10.33%
Quorum Health Investment Company LLC Organization, Brentwood, TN Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 6, 2024 100%
Stacey Lee Brown Individual Contracted Managing EmployeeChief Executive Officer Oct 17, 2024
Goldentree Distressed Master Fund III LTD Organization, New York, NY Investment firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 6, 2024 21.48%
Goldentree Quorum Health Offshore II LTD Organization, New York, NY Investment firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 6, 2024 12%
Quincy Health LLC Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 6, 2024 100%
Steven W Frantz Individual Corporate OfficerVice President Sep 6, 2024
Corporate DirectorVice President Sep 6, 2024
Julie Manas Individual Corporate OfficerPresident Sep 6, 2024
Corporate DirectorDirector Sep 6, 2024
Donald Esposito Individual Corporate OfficerSenior Vice President and Secretary Sep 6, 2024
Corporate DirectorDirector Sep 6, 2024

Facilities with the same owner 32

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

  • Big Bend Hospital Corporation
    • Rural Health Clinic/Center
    • Alpine, TX
    • NPI 1275988669

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Quorum Health Offshore I LTD, Goldentree Quorum Health Offshore II LTD, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LL

    CMS ownership
  • Big Bend Hospital Corporation

    dba Big Bend Regional Medical Center

    • Critical Access Hospital
    • Alpine, TX
    • NPI 1356312243

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Quorum Health Offshore I LTD, Goldentree Quorum Health Offshore II LTD, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LL

    CMS ownership
  • Big Bend Hospital Corporation

    dba Big Bend Regional Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Alpine, TX
    • NPI 1689773756

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Quorum Health Offshore I LTD, Goldentree Quorum Health Offshore II LTD, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LL

    CMS ownership
  • Big Spring Texas Hospital Company LLC

    dba Scenic Mountain Medical Center

    • General Acute Care Hospital
    • Big Spring, TX
    • NPI 1336976034

    Goldentree Distressed Fund III (Cayman) Carry LP, Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Hea

    CMS ownership
  • Big Spring Texas Hospital Company LLC

    dba Scenic Mountain Medical Center

    • Psychiatric Hospital Unit
    • Big Spring, TX
    • NPI 1770310476

    Goldentree Distressed Fund III (Cayman) Carry LP, Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Hea

    CMS ownership
  • Deming Hospital Corporation

    dba Mimbres Valley Medical Group

    • Rural Health Clinic/Center
    • Deming, NM
    • NPI 1134526221

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Deming Hospital Corporation

    dba Mimbres Memorial Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • Deming, NM
    • NPI 1710196571

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Deming Hospital Corporation

    dba Mimbres Memorial Hospital

    • Critical Access Hospital
    • Deming, NM
    • NPI 1891075446

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Evanston Hospital Corporation

    dba Bridger Valley Medical Group

    • Rural Health Clinic/Center
    • Lyman, WY
    • NPI 1134666944

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Evanston Hospital Corporation

    dba Evanston Regional Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • Evanston, WY
    • NPI 1356313506

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Evanston Hospital Corporation

    dba Bridger Valley Medical Group

    • Rural Health Clinic/Center
    • Mountain View, WY
    • NPI 1427595271

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Evanston Hospital Corporation

    dba Evanston Regional Hospital

    • General Acute Care Hospital
    • Evanston, WY
    • NPI 1639140015

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
View all 32

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

Affiliated clinicians 137

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 137

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1306673009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 MALLORY LN STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 6TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614527",
            "telephone_number": "432-582-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODESSA TEXAS HOSPITAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "VP PHYSICIAN SERVICES FINANCIAL OPS",
        "authorized_official_telephone_number": "615-221-3641",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odessa Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.