Provider Demographics
NPI:1801890637
Name:CITY OF ODESSA
Entity type:Organization
Organization Name:CITY OF ODESSA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR BILLING AND COLLECTION
Authorized Official - Prefix:
Authorized Official - First Name:ROGELIO
Authorized Official - Middle Name:
Authorized Official - Last Name:SALCIDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-335-3210
Mailing Address - Street 1:PO BOX 4398
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79760-4398
Mailing Address - Country:US
Mailing Address - Phone:432-335-4129
Mailing Address - Fax:432-335-3231
Practice Address - Street 1:411 E 8TH ST
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4521
Practice Address - Country:US
Practice Address - Phone:432-335-4129
Practice Address - Fax:432-335-3231
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF ODESSA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-09
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0680013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport