COMMUNITY HEALTH CENTER OF LUBBOCK INC. NPI 1356460554

NPI Information

COMMUNITY HEALTH CENTER OF LUBBOCK INC. is a federally qualified health center (fqhc) clinic center in Lubbock, TX. COMMUNITY HEALTH CENTER OF LUBBOCK INC. NPI is 1356460554. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Health Center Of Lubbock.

The provider's business location address is:

1610 5TH ST
LUBBOCK, TX
ZIP 79401
Phone: (806) 765-2611
Fax: (806) 687-5826

The provider's authorized official is Michael P. Sullivan .
The authorized official title is Chief Executive Officer and has the following contact phone number (806) 765-2611.

The CLIA number assigned to this NPI record is 45D1053326 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/28/2007 and was last updated on 5/29/2018.

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:

Other Identifiers

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

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