Organization
ALLIANCE HOSPITAL, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D. MONTOIS (CFO)
(432) 550-1902
Entity
Organization
Contact information
Practice address
515 ADAMS AVE, ODESSA, TX 79761-4613
(432) 550-1000
(432) 580-4116
Mailing address
515 ADAMS AVE, ODESSA, TX 79761-4613
(432) 550-1000
(432) 580-4116
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007955
TX
282N00000X
General Acute Care Hospital
007955
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
CHAMPUS
—
05
—
10014148
—
TX
05
—
88374327
—
NM
01
—
HH1023
BLUE CROSS BLUE SHIELD OF
TX
Enumeration date
11/21/2006
Last updated
09/11/2025
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