Organization Active NPI

Alliance Hospital, LTD

  • Ambulatory Surgical Clinic/Center
  • Odessa, TX
National Provider Identifier
1376618124
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
007955 Issued in TX
Legal business name
ALLIANCE HOSPITAL, LTD
Practice address
515 Adams Ave
Odessa, TX 79761-4613
Phone
(432) 550-1000
Fax
(432) 580-4116
NPI assigned
Nov 21, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
John D. Montois
Title
Cfo
Phone
(432) 550-1902

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 007955 TX Primary
General Acute Care Hospital 282N00000X 007955 TX

Addresses

NPPES NPI Registry

Primary practice location

515 Adams Ave
Odessa, TX 79761-4613

Mailing address

515 Adams Ave
Odessa, TX 79761-4613
Phone (432) 550-1000

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
10014148MedicaidTX
HH1023OtherTXBLUE CROSS BLUE SHIELD OF
0000OtherCHAMPUS
88374327MedicaidNM

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1376618124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ADAMS AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614613",
            "telephone_number": "432-550-1000",
            "fax_number": "432-580-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ADAMS AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614613",
            "telephone_number": "432-550-1000",
            "fax_number": "432-580-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HOSPITAL, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MONTOIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "432-550-1902"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007955",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "007955",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10014148",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "HH1023",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "0000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88374327",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.