COVENANT HEALTH SYSTEM NPI 1457401036

NPI Information

NPI: 1457401036
Provider Name: COVENANT HEALTH SYSTEM

Doing Business As: COVENANT MEDICAL CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3615 19TH ST
LUBBOCK, TX
ZIP 79410
Phone: (806) 725-1011
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COVENANT HEALTH SYSTEM is an end-stage renal disease (esrd) treatment clinic center in Lubbock, TX. COVENANT HEALTH SYSTEM NPI is 1457401036. The provider is registered as an organization entity type.
The provider Is Doing Business As Covenant Medical Center.

The provider's business location address is:

3615 19TH ST
LUBBOCK, TX
ZIP 79410-203
Phone: (806) 725-1011
Fax: (806) 723-6180

The provider's authorized official is Richard Parks .
The authorized official title is Ceo and has the following contact phone number (806) 725-1011.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 8/4/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	000465	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	452326	MEDICARE OSCAR/CERTIFICATION	TEXAS
2	085980302	MEDICAID	TEXAS

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: 11/14/2023

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