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TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER SON NPI 1750702015


NPI Information

NPI: 1750702015
Provider Name: TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER SON

Doing Business As: COMBEST CENTRAL COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2424 50TH ST RM 300
LUBBOCK, TX
ZIP 79412
Phone: (806) 743-2424
Get Directions

TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER SON is a federally qualified health center (fqhc) clinic center in Lubbock, TX. TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER SON NPI is 1750702015. The provider is registered as an organization entity type.
The provider Is Doing Business As Combest Central Community Health Center.

The provider's business location address is:

2424 50TH ST RM 300
LUBBOCK, TX
ZIP 79412-561
Phone: (806) 743-2424
Fax: (806) 743-9633

The provider's authorized official is Linda J Mcmurry .
The authorized official title is Executive Director and has the following contact phone number (806) 743-9571.

The enumeration date for this NPI number is 1/3/2014 and was last updated on 4/25/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1741841OTHERTEXASMEDICARE PIN
2333188601MEDICAIDTEXAS
3333188602MEDICAIDTEXAS

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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