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MANAGED CARE CENTER INC. NPI 1912049156


NPI Information

NPI: 1912049156
Provider Name: MANAGED CARE CENTER, INC.
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
2345 50TH ST
SUITE 100
LUBBOCK, TX
ZIP 79412
Phone: (806) 780-8300
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MANAGED CARE CENTER, INC. is an addiction (substance use disorder) counselor in Lubbock, TX. MANAGED CARE CENTER, INC. NPI is 1912049156. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2345 50TH ST
SUITE 100
LUBBOCK, TX
ZIP 79412-565
Phone: (806) 780-8300
Fax: (806) 780-8383

The provider's authorized official is Susan Lea Lilly .
The authorized official title is Executive Director and has the following contact phone number (806) 780-8300.

The enumeration date for this NPI number is 2/13/2007 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
1101YA0400XCounselorAddiction (Substance Use Disorder)846TEXASYes

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
1065363601MEDICAIDTEXAS
2HH6646OTHERTEXASBCBS

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: 4/28/2024

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