DEPARTMENT OF STATE HEALTH SERVICES NPI 1578639647

NPI Information

NPI: 1578639647
Provider Name: DEPARTMENT OF STATE HEALTH SERVICES

Doing Business As: TEXAS DSHS - HSR 1 LUBBOCK

Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
6302 LOLA
LUBBOCK, TX
ZIP 79424
Phone: (806) 744-3577
Get Directions

DEPARTMENT OF STATE HEALTH SERVICES is a public health and state or local clinic center in Lubbock, TX. DEPARTMENT OF STATE HEALTH SERVICES NPI is 1578639647. The provider is registered as an organization entity type.
The provider Is Doing Business As Texas Dshs - Hsr 1 Lubbock.

The provider's business location address is:

6302 LOLA
LUBBOCK, TX
ZIP 79424
Phone: (806) 744-3577
Fax: (806) 783-6475

The provider's authorized official is Barry Wilson .
The authorized official title is Deputy Regional Director and has the following contact phone number (806) 744-3577.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/31/2010.

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	261QP0905X	Clinic/Center	Public Health, State or Local		TEXAS	No
2	261QP0905X	Clinic/Center	Public Health, State or Local	H4610	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
1	136368102	MEDICAID	TEXAS
2	136130504	MEDICAID	TEXAS
3	138359808	MEDICAID	TEXAS
4	138359805	MEDICAID	TEXAS
5	135248602	MEDICAID	TEXAS
6	133560602	MEDICAID	TEXAS
7	136129702	MEDICAID	TEXAS
8	136480402	MEDICAID	TEXAS
9	PH0003	MEDICARE ID-TYPE UNSPECIFIED	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

NPI Synchronization or Removal

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