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COVENANT HEALTH CENTER NPI 1609093038


NPI Information

NPI: 1609093038
Provider Name: COVENANT HEALTH CENTER

Doing Business As: COVENANT BREAST CENTER

Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
3615 19TH ST
LUBBOCK, TX
ZIP 79410
Phone: (806) 725-1011
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COVENANT HEALTH CENTER is a radiology and mammography clinic center in Lubbock, TX. COVENANT HEALTH CENTER NPI is 1609093038. The provider is registered as an organization entity type.
The provider Is Doing Business As Covenant Breast 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 Steven Hunter .
The authorized official title is Ceo and has the following contact phone number (806) 725-0579.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 8/22/2020.


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, Mammography000465TEXASYes

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
17527465566OTHERTEXASBREAST CENTER

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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