NPIMap

Organization Active NPI

Odessa Regional Hospital LP

  • General Acute Care Hospital
  • Odessa, TX
National Provider Identifier
1801852736
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000425 Issued in TX
Legal business name
ODESSA REGIONAL HOSPITAL LP
Practice address
520 E 6TH St
Odessa, TX 79761-4527
Phone
(432) 582-8200
Fax
(432) 582-8903
NPI assigned
Apr 20, 2006
Last updated
Apr 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Stacey L. Brown
Title
Hospital Ceo
Phone
(432) 582-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 000425 TX Primary

Addresses

Primary practice location

520 E 6TH St
Odessa, TX 79761-4527

Mailing address

520 E 6TH St
Attn: Billing
Odessa, TX 79761-4527
Phone (432) 582-8000

Other identifiers 3

IdentifierTypeStateIssuer
112711003MedicaidTX
112711004MedicaidTX
112711002MedicaidTX

National Provider Directory

National Provider Directory

Member of 1

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

Locations

420 E 6th St
Ste 206
Odessa, TX 79761
Phone (432) 582-8480

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 30

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 30

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1801852736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 6TH ST",
            "address_2": "ATTN: BILLING",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614527",
            "telephone_number": "432-582-8000",
            "fax_number": "432-582-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 6TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614527",
            "telephone_number": "432-582-8200",
            "fax_number": "432-582-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODESSA REGIONAL HOSPITAL LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "HOSPITAL CEO",
        "authorized_official_telephone_number": "432-582-8000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112711003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112711004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112711002",
            "state": "TX"
        }
    ],
    "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 Apr 3, 2018; 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.