Healthcare Provider Details

I. General information

NPI: 1366680555
Provider Name (Legal Business Name): ECTOR COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2009
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 JBS PKWY
ODESSA TX
79762-8126
US

IV. Provider business mailing address

PO BOX 7239
ODESSA TX
79760-7239
US

V. Phone/Fax

Practice location:
  • Phone: 432-640-6700
  • Fax: 432-640-4700
Mailing address:
  • Phone: 432-640-1000
  • Fax: 432-640-1898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. RUSSELL TIPPEN
Title or Position: CEO
Credential:
Phone: 432-640-2413