ECTOR COUNTY HOSPTIAL NPI 1174831366

NPI Information

NPI: 1174831366
Provider Name: ECTOR COUNTY HOSPTIAL

Doing Business As: RONALD MCDONALD CARE MOBIL

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
840 W CLEMENTS ST
ODESSA, TX
ZIP 79763
Phone: (432) 333-3888
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ECTOR COUNTY HOSPTIAL is a health service clinic center in Odessa, TX. ECTOR COUNTY HOSPTIAL NPI is 1174831366. The provider is registered as an organization entity type.
The provider Is Doing Business As Ronald Mcdonald Care Mobil.

The provider's business location address is:

840 W CLEMENTS ST
ODESSA, TX
ZIP 79763-601
Phone: (432) 333-3888
Fax: (432) 640-4887

The provider's authorized official is Dorothy Ann Reyes .
The authorized official title is Excutive Director and has the following contact phone number (432) 333-3888.

The enumeration date for this NPI number is 9/22/2010 and was last updated on 9/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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