NPIMap

Organization Active NPI

Ector County Hospital District

Doing business as Medical Center Hospital

  • General Acute Care Hospital
  • Odessa, TX
National Provider Identifier
1740273994
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ECTOR COUNTY HOSPITAL DISTRICT
Doing business as
Medical Center Hospital
Practice address
500 W 4TH St
Odessa, TX 79761
Phone
(432) 640-4000
Fax
(432) 640-1898
NPI assigned
Aug 23, 2005
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

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

Specialties & licenses 1

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

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 1

IdentifierTypeStateIssuer
135235306MedicaidTX

Other names 1

  • Medical Center Hospital Doing business as

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740273994. Details of each certification follow.

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
OtherNon-profit
Enrollment address
500 W 4TH St
Medical Center Hospital
Odessa, TX 79761-5001
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Medical Center HospitalCCN 450132 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Ector County Hosptial9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

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 ControlProvider 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 OfficerPresident/Chief Executive Officer Aug 27, 2019 100%
W-2 Managing Employee Aug 27, 2019

Owners & managing parties with NPI records 6

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

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 OdessaMidland, TX, CCN 453057 Hospital 5% Or Greater Indirect Ownership Interest (17%) Jul 1, 2021
Family Health ClinicOdessa, TX, CCN 671912 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2006
Family Health ClinicOdessa, TX, CCN 741933 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2014
MCH Family Health ClinicOdessa, TX, CCN 451162 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2021
MCH Family Health ClinicOdessa, TX, CCN 671081 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 73

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 73

Affiliated clinicians 425

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

View all 425

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1740273994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7239",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797607239",
            "telephone_number": "432-640-4000",
            "fax_number": "432-640-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 4TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "432-640-4000",
            "fax_number": "432-640-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECTOR COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "TIPPIN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "432-640-2413",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135235306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Center Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.