NPIMap

Organization Active NPI

Methodist Hospital Levelland

Doing business as Covenant Levelland EMS

  • Ambulance
  • Levelland, TX
National Provider Identifier
1780219097
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
METHODIST HOSPITAL LEVELLAND
Doing business as
Covenant Levelland EMS
Practice address
809 11TH St
Levelland, TX 79336-5422
Phone
(806) 894-8855
NPI assigned
Mar 6, 2020
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Donald W Anderson Jr.
Title
Assistant Secretary of Enrollments
Phone
(425) 358-9786

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

809 11TH St
Levelland, TX 79336-5422

Mailing address

PO Box 677044
Dallas, TX 75267-7044
Phone (806) 895-8855

Other identifiers 1

IdentifierTypeStateIssuer
397432101MedicaidTX

Other names 1

  • COVENANT LEVELLAND EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100323000859 TX Part A Provider - Hospital 8527041037 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Levelland, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780219097. Details of each certification follow.

Hospital certification: CCN 450755

Legal name
METHODIST HOSPITAL LEVELLAND
Doing business as
COVENANT HOSPITAL LEVELLAND
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 6, 1988
Last certification
Jan 15, 2020
Beds
48
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 4, 1998 in TX
Enrollment address
1900 College Ave
Levelland, TX 79336-6508
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

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
Covenant Hospital LevellandCCN 450755 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

103 John Dupree Dr
Levelland, TX 79336
Phone (806) 894-2465

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Kathleen Burrell Individual Corporate OfficerCorporate Secretary Mar 1, 2023
Newman Wheeler Individual Corporate OfficerCeo Feb 14, 2022
Corporate DirectorBoard Member Jan 1, 2023
Michael G Bailey Individual Corporate DirectorBoard Member Jan 1, 2023
Joel B White Individual Corporate DirectorBoard Member Oct 1, 2025
Rebecca Currington Individual Corporate DirectorBoard Member Jan 1, 2022
Providence Health & Services - Washington Organization, Renton, WA Corporation, Non-profit Operational/Managerial Control Aug 1, 2020
Lisa Guzman Individual Corporate DirectorBoard Member Feb 23, 2023
Covenant Health System Organization, Lubbock, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2019 100%
Cora Rivera Individual Corporate OfficerCfo Oct 31, 2023
Lubbock Methodist Hospital System Organization, Lubbock, TX Corporation, Non-profit Other Apr 1, 1999 43%
Deette Edens Individual Corporate DirectorBoard Member Jan 1, 2023
Crystal Gonzales Individual W-2 Managing EmployeeMedical Offices Supervisor Jan 1, 2015
Kenneth Shipley Individual Corporate DirectorBoard Member Jan 1, 2023
Donald Wayne Anderson Individual Corporate OfficerAssistant Secretary of Enrollments Sep 1, 2020
Gregory David Hoffman Individual Corporate OfficerCfo/Treasurer Jan 1, 2023
St. Joseph Health System Organization, Irvine, CA Corporation, Non-profit Other Apr 1, 1999 57%
Dyana Kerr Individual W-2 Managing EmployeeRegional Financial Executive Mar 1, 2023
Providence St. Joseph Health Organization, Renton, WA Corporation, Non-profit Other Jul 1, 2016

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 16

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 16

Affiliated clinicians 69

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

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1780219097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677044",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752677044",
            "telephone_number": "806-895-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 11TH ST",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793365422",
            "telephone_number": "806-894-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HOSPITAL LEVELLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "397432101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COVENANT LEVELLAND EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COVENANT LEVELLAND EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Levelland, TX

Sources for this page

Verify at the official NPI Registry.