Provider Demographics
NPI:1225088958
Name:ALLIANCE HOSPITAL, LTD
Entity Type:Organization
Organization Name:ALLIANCE HOSPITAL, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLILNG MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-334-8088
Mailing Address - Street 1:PO BOX 1231
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79760-1231
Mailing Address - Country:US
Mailing Address - Phone:432-334-8088
Mailing Address - Fax:432-580-7202
Practice Address - Street 1:515 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4613
Practice Address - Country:US
Practice Address - Phone:432-334-8088
Practice Address - Fax:432-580-7202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1690986903Medicaid
TX00365WMedicare ID - Type Unspecified