INTERNATIONAL LOCUM TENENS (NPI# 1174929087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174929087 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL LOCUM TENENS |
| Other Organization Name | BASIN HEALTH CLINIC |
| Practice Address |
900 E 4th St Odessa TX 79761-5255 |
| Mailing Address |
2808 S County Road 1257 Midland TX 79706-2847 |
| Practice Telephone | 4325564817 |
| Practice Fax Number | 4325632071 |
| Mailing Telephone | 4325533117 |
| Mailing Fax Number | 4325632071 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |
| Authorized Official Name | DR. DANIEL H. KINZIE IV (CEO) |
| Authorized Official Telephone | 4325533117 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | INTERNATIONAL LOCUM TENENS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Basin Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518206176 | International Locum Tenens | Health Maintenance Organization | 301 Dodson St, Midland, TX 79701-6334 | 2013-02-01 |
| Street Address |
900 E 4TH ST |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-5255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770736191 | Fernando Salvador Gallegos Garcia | Emergency Medicine | 900 E 4th St, Odessa, TX 79761-5255 | 2008-10-29 |
| 1932589652 | Odessa Physician Associates, Pllc | Emergency Medicine | 900 E 4th St, Odessa, TX 79761-5255 | 2015-06-08 |
| 1871739714 | Basin Healthcare Center LLC | General Acute Care Hospital | 900 E 4th St, Odessa, TX 79761-5255 | 2008-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174831366 | Ector County Hosptial | Clinic/Center | 840 W Clements St, Odessa, TX 79763-4601 | 2010-09-22 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.