Healthcare Provider Details

I. General information

NPI: 1740273994
Provider Name (Legal Business Name): ECTOR COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W 4TH ST
ODESSA TX
79761
US

IV. Provider business mailing address

PO BOX 7239
ODESSA TX
79760-7239
US

V. Phone/Fax

Practice location:
  • Phone: 432-640-4000
  • Fax: 432-640-1898
Mailing address:
  • Phone: 432-640-4000
  • Fax: 432-640-1898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. RUSSELL TIPPIN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 432-640-2413