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COVENANT HEALTH SYSTEM NPI 1629288238


NPI Information

NPI: 1629288238
Provider Name: COVENANT HEALTH SYSTEM

Doing Business As: COVENANT SUBSTANCE ABUSE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
4000 24TH ST
LUBBOCK, TX
ZIP 79410
Phone: (806) 725-1011
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COVENANT HEALTH SYSTEM is a substance abuse rehabilitation facility in Lubbock, TX. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. COVENANT HEALTH SYSTEM NPI is 1629288238. The provider is registered as an organization entity type.
The provider Is Doing Business As Covenant Substance Abuse.

The provider's business location address is:

4000 24TH ST
LUBBOCK, TX
ZIP 79410-894
Phone: (806) 725-1011

The provider's authorized official is Melinda Clark .
The authorized official title is Ceo and has the following contact phone number (806) 725-0579.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 10/14/2009.


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
1324500000XSubstance Abuse Rehabilitation Facility000465TEXASYes

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
1HH3291OTHERTEXASSUBSTANCE ABUSE

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

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