Active NPI
Renal Center of Midland-Odessa, LP, LLLP
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Odessa, TX
National Provider Identifier
1952413007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 008267
- Legal business name
- RENAL CENTER OF MIDLAND-ODESSA, LP, LLLP
- Practice address
- 4241 Tanglewood
Suite 104
Odessa, TX 79762-5988 - Phone
- (432) 366-3940
- Fax
- (432) 336-6393
- NPI assigned
- Aug 31, 2006
- Organization subpart
- Yes
- Parent organization
- RENAL VENTURES MANAGMENT, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard L Chatfield
- Title
- Chief Executive Officer
- Phone
- (303) 384-4090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 008267 | TX | Primary |
Addresses
Primary practice location
4241 Tanglewood
Suite 104
Odessa, TX 79762-5988
Mailing address
1626 Cole Blvd
Ste 100
Lakewood, CO 80401-3306
Phone (303) 384-4000
National Provider Directory
National Provider DirectoryLocations
4241 Tanglewood Ln
Ste 104
Odessa, TX 79762
Phone (432) 366-3940
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Jacksonville, FL
- NPI 1609978527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206403200000",
"number": "1952413007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 COLE BLVD",
"address_2": "STE 100",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "804013306",
"telephone_number": "303-384-4000",
"fax_number": "303-273-5991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4241 TANGLEWOOD",
"address_2": "SUITE 104",
"city": "ODESSA",
"state": "TX",
"postal_code": "797625988",
"telephone_number": "432-366-3940",
"fax_number": "432-336-6393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAL CENTER OF MIDLAND-ODESSA, LP, LLLP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RENAL VENTURES MANAGMENT, LLC",
"enumeration_date": "2006-08-31",
"last_updated": "2008-03-25",
"status": "A",
"authorized_official_last_name": "CHATFIELD",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "303-384-4090"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "TX",
"license": "008267",
"primary": true
}
],
"identifiers": [],
"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 Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.