Basin Healthcare Center LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

100045 Issued in TX

Legal business name

BASIN HEALTHCARE CENTER LLC

Practice address

900 E 4TH St
Odessa, TX 79761-5255

Phone

(432) 362-9900

Fax

(432) 362-9930

NPI assigned

Dec 24, 2008

Organization subpart

No

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

Authorized official

Name

Larry Gene Troxell

Title

Ceo

Phone

(432) 362-9900

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670066

Legal name

BASIN HEALTHCARE CENTER, LLC

Certification status

Terminated Voluntary: merger or closure, Jun 12, 2015

Provider type (POS)

Hospital – Short-term

Participating since

Apr 7, 2010

Last certification

Mar 13, 2013

Beds

14

Ownership / control type

Private (for profit)

Facility address

900 East 4TH Street
Odessa, TX 79761

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1871739714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E 4TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615255",
            "telephone_number": "432-362-9900",
            "fax_number": "432-362-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 4TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615255",
            "telephone_number": "432-362-9900",
            "fax_number": "432-362-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIN HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-24",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "TROXELL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-362-9900"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "100045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282N00000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Acute Care Hospital in Odessa, TX
• Providers in Odessa, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.