Organization Active NPI

Renal Center of Midland-Odessa, LP, LLLP

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Odessa, TX
National Provider Identifier
1952413007
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
008267 Issued in TX
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.