COVENANT HEALTH SYSTEM NPI 1720542632

NPI Information

NPI: 1720542632
Provider Name: COVENANT HEALTH SYSTEM
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 45D0055204

Address:
4014 22ND PL STE 11
LUBBOCK, TX
ZIP 79410
Phone: (806) 725-6083
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COVENANT HEALTH SYSTEM is a land transport ambulance in Lubbock, TX. COVENANT HEALTH SYSTEM NPI is 1720542632. The provider is registered as an organization entity type.

The provider's business location address is:

4014 22ND PL STE 11
LUBBOCK, TX
ZIP 79410-127
Phone: (806) 725-6083
Fax: (806) 723-7509

The provider's authorized official is John A Grigson .
The authorized official title is Sr. Vice President & Cfo and has the following contact phone number (806) 725-0492.

The CLIA number assigned to this NPI record is 45D0055204 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/24/2019 and was last updated on 1/24/2019.

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	3416L0300X	Ambulance	Land Transport			Yes

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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