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COVENANT MEDICAL CENTER NPI 1972517365


NPI Information

NPI: 1972517365
Provider Name: COVENANT MEDICAL CENTER
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
3615 19TH ST
LUBBOCK, TX
ZIP 79410
Phone: (806) 725-1011
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COVENANT MEDICAL CENTER 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. COVENANT MEDICAL CENTER NPI is 1972517365. The provider is registered as an organization entity type.

The provider's business location address is:

3615 19TH ST
LUBBOCK, TX
ZIP 79410
Phone: (806) 725-1011

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

The enumeration date for this NPI number is 7/28/2006 and was last updated on 10/1/2020.


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
1261QR0206XClinic/CenterRadiology, MammographyNo
2261QX0203XClinic/CenterOncology, RadiationNo
3261QA1903XClinic/CenterAmbulatory SurgicalNo
4261QR0200XClinic/CenterRadiologyNo
5282N00000XGeneral Acute Care HospitalYes

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
1139461106MEDICAIDTEXAS
2139461107MEDICAIDTEXAS
348157279MEDICAIDCOLORADO
4HH0291OTHERTEXASBLUE CROSS
5543638MEDICAIDARIZONA
6752765566OTHERCHAMPUS/TRICARE
7B3168MEDICAIDNEW MEXICO
8HS44IPMEDICAIDAMERICAN SAMOA
9B3151MEDICAIDNEW MEXICO
10100395600BMEDICAIDKANSAS
11592923MEDICAIDIOWA
12909867400MEDICAIDFLORIDA
13XHS41253MEDICAIDCALIFORNIA
14HS44OPMEDICAIDAMERICAN SAMOA
15XHSP31253MEDICAIDCALIFORNIA
16COV0040NMEDICAIDALABAMA
17160265105MEDICAIDARKANSAS
18A227OTHERNEW MEXICOBC/BS ACUTE

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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