COMMUNITY HEALTH CENTER OF LUBBOCK INC NPI 1891768321

NPI Information

  • NPI: 1891768321
  • Provider Name: COMMUNITY HEALTH CENTER OF LUBBOCK, INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: PARKWAY COMMUNITY HEALTH CLINIC
  • CLIA Number: 45D1030687
  • Address: 406 MLK BLVD
    LUBBOCK, TX
    ZIP 79403
  • Phone: (806) 767-9744

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NPI Details

COMMUNITY HEALTH CENTER OF LUBBOCK, INC is a federally qualified health center (fqhc) clinic center in Lubbock, TX. COMMUNITY HEALTH CENTER OF LUBBOCK, INC NPI is 1891768321. The provider is registered as an organization entity type.
The provider Is Doing Business As Parkway Community Health Clinic.

The provider's business location address is:

406 MLK BLVD
LUBBOCK, TX
ZIP 79403
Phone: (806) 767-9744
Fax: (806) 767-9930

The provider's authorized official is Michael P. Sullivan .
The authorized official title is Chief Executive Officer and has the following contact phone number (806) 765-2611.

The CLIA number assigned to this NPI record is 45D1030687 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/7/2006 and was last updated on 3/9/2021.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1019021710MEDICAIDTEXAS

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: 3/30/2025

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