NPIMap

Organization Active NPI

Careatc

  • Primary Care Clinic/Center
  • Odessa, TX
National Provider Identifier
1548079486
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CAREATC
Practice address
221 N Sam Houston Ave
Odessa, TX 79761-5040
Phone
(432) 272-6047
NPI assigned
Jan 6, 2025
Organization subpart
Yes
Parent organization
CAREATCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Kelly Bender
Title
Sr. Director, Data & Analytics
Phone
(918) 779-7475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

221 N Sam Houston Ave
Odessa, TX 79761-5040

Mailing address

4500 S 129TH East Ave
Tulsa, OK 74134-5801

Other names 1

  • CareATC - Odessa Sam Houston Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2251748Careatc Odessa Sam Houston221 N. Sam Houston, Odessa, TX 79761Certificate of waiverFeb 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
Careatc - Indiana Packers Health Center117 organizations share this tax ID, including this one
Part of
Careatc - Indiana Packers Health Center

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1548079486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S 129TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741345801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N SAM HOUSTON AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615040",
            "telephone_number": "432-272-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREATC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREATC",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "SR. DIRECTOR, DATA & ANALYTICS",
        "authorized_official_telephone_number": "918-779-7475"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareATC - Odessa Sam Houston",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.