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NPI Code Detail

MEDICARE: ECTOR COUNTY HOSPITAL DISTRICT

MEDICARE: ECTOR COUNTY HOSPITAL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283X00000XRehabilitation Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780677971
Entity Type Code : Organization
Provider Name (Legal Business Name) : ECTOR COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : PO BOX 7239
Second Line :
City : ODESSA
State : TX
Zip : 79760-7239
Country : US
Telephone Number : 432-640-4000
Fax Number : 432-640-1898
Provider Business Practice Location Address
First Line : 500 W 4TH ST
Second Line :
City : ODESSA
State : TX
Zip : 79761-5001
Country : US
Telephone Number : 432-640-4000
Fax Number : 432-640-1898
Authorized Official
Title or Position : CFO
Name : MR. JON RIGGS
Credential :
Telephone Number : 432-640-2407
Provider Enumeration Date : 08/24/2005
Last Update Date : 12/02/2013

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Directions to “ECTOR COUNTY HOSPITAL DISTRICT ” Practice Location

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