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Contact Information

COMMUNITY HEALTH CENTER OF LUBBOCK, INC.
5424 19TH ST STE 200
LUBBOCK, TX79407
 Phone: 806-722-4453
 Fax: 806-722-4461
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTH CENTER OF LUBBOCK, INC.

NPI Number 1225304686
LBN Legal business name COMMUNITY HEALTH CENTER OF LUBBOCK, INC.
Authorized official MICHAEL SULLIVAN - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2012
Last updated 02/07/2022 - About 4 years ago
Identifiers
TX Medicaid 019021716
TX Other 741815 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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