COVENANT MEDICAL CENTER; NPI #1548878267

Contact Information

COVENANT MEDICAL CENTER

3615 19TH
LIFESTYLE CENTRE-EAST PARKING GARAGE
LUBBOCK, TX 79410

Phone: 806-725-0314
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation: Cardiac Facilities	261QR0404X

Indicates primary specialty

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NPI Profile & details for COVENANT MEDICAL CENTER

NPI Number	`1548878267`
LBN Legal business name	COVENANT MEDICAL CENTER
Authorized official	DAWN BOEDEFELD - (MGR-REGULATORY & ENROLLMENT GOV PRG)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	07/20/2020
Last updated	07/20/2020 - About 6 years ago
Identifiers	n/a

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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