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Organization

REGENCY HOSPITAL OF ODESSA LLLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization

Contact information

Practice address
318 N ALLEGHANEY AVE, SUITE 202, ODESSA, TX 79761-5052
(432) 552-4000
(432) 333-2618
Mailing address
4714 GETTYSBURG RD, LEGAL DPT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
007910
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
190146401
TX
Enumeration date
08/11/2005
Last updated
12/03/2012
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