NPIMap

Ector County Hospital District

Organization Active NPI General Acute Care Hospital · Odessa, TX

NPI 1740273994 · NPPES record last updated Mar 31, 2021

Key facts

NPI
1740273994
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
Legal business name
ECTOR COUNTY HOSPITAL DISTRICT
Practice address
500 W 4TH St
Odessa, TX 79761
Phone
(432) 640-4000
Fax
(432) 640-1898
NPI assigned
Aug 23, 2005
Organization subpart
No

Authorized official

Name
Mr. Russell Tippin
Title
President/Ceo
Phone
(432) 640-2413

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 8

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Facilities with the same owner 5

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

Practitioners 100

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 100

Affiliated clinicians 425

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

View all 425

Medicare Care Compare: Hospital

Listed as
Medical Center Hospital CCN 450132
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Hospital certification: CCN 450132

Legal name
ECTOR COUNTY HOSPITAL DISTRICT
Doing business as
MEDICAL CENTER HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 6, 2020
Beds
402
Ownership / control type
Hospital district or authority
Organization structure
Other · Non-profit
Enrollment address
500 W 4TH St
Medical Center Hospital
Odessa, TX 79761-5001
Other Hospital Practice Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Debby Mireles
Individual 		Operational/Managerial Control
Provider Relations Director		 Jan 1, 2018
Ector County Hospital District
Organization · Odessa, TX 		5% Or Greater Direct Ownership Interest Jan 1, 1975
Russell Tippin
Individual 		Corporate Officer
President/Chief Executive Officer		 Aug 27, 2019 100%
W-2 Managing Employee Aug 27, 2019

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Encompass Health Rehabilitation Hospital of Midland Odessa
Midland, TX · CCN 453057		 Hospital 5% Or Greater Indirect Ownership Interest (17%) Jul 1, 2021
Family Health Clinic
Odessa, TX · CCN 671912		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2006
Family Health Clinic
Odessa, TX · CCN 741933		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2014
MCH Family Health Clinic
Odessa, TX · CCN 451162		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2021
MCH Family Health Clinic
Odessa, TX · CCN 671081		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040126000792 TX Part a Provider - Hospital 5496657769 1 other NPI on this enrollment
Practice locations: Odessa, TX

National Provider Directory

Tax ID family
Medical CNTR Hosp Phcy (9 organizations share this tax ID)

Locations

720 Golder Ave
Odessa, TX 79761
Phone (915) 337-3117

Specialties & licenses

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

Addresses

Primary practice location

500 W 4TH St
Odessa, TX 79761

Mailing address

PO Box 7239
Odessa, TX 79760-7239
Phone (432) 640-4000

Other identifiers

IdentifierTypeStateIssuer
135235306MedicaidTX

Other names

  • Medical Center Hospital Doing business as

Other providers in Odessa, TX

All providers in Odessa, TX · General Acute Care Hospital in Texas

Sources for this page

Verify at the official NPI Registry.