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LUBBOCK HERITAGE HOSPITAL LLC. NPI 1225289499


NPI Information

NPI: 1225289499
Provider Name: LUBBOCK HERITAGE HOSPITAL, LLC.

Doing Business As: GRACE SURGICAL HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 45D2194272

Address:
7509 MARSHA SHARP FWY
LUBBOCK, TX
ZIP 79407
Phone: (806) 725-4000
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LUBBOCK HERITAGE HOSPITAL, LLC. is a general acute care hospital in Lubbock, TX. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. LUBBOCK HERITAGE HOSPITAL, LLC. NPI is 1225289499. The provider is registered as an organization entity type.
The provider Is Doing Business As Grace Surgical Hospital.

The provider's business location address is:

7509 MARSHA SHARP FWY
LUBBOCK, TX
ZIP 79407-202
Phone: (806) 725-4000
Fax: (806) 788-4278

The provider's authorized official is Donald W Anderson .
The authorized official title is Assistant Secretary Of Enrollments and has the following contact phone number (425) 525-5392.

The CLIA number assigned to this NPI record is 45D2194272 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 4/9/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical13005TEXASNo
2261QR0200XClinic/CenterRadiologyR32837TEXASNo
3261QR0206XClinic/CenterRadiology, Mammography#M01038TEXASNo
4282N00000XGeneral Acute Care Hospital008366TEXASNo
5282N00000XGeneral Acute Care Hospital008730TEXASNo
6282N00000XGeneral Acute Care HospitalTX008366TEXASYes
7291U00000XClinical Medical Laboratory45D1057650TEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1281514402MEDICAIDTEXAS
22815144MEDICAIDTEXAS
3281514401MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.