LUBBOCK REGIONAL MHMR CENTER NPI 1992708705

NPI Information

NPI: 1992708705
Provider Name: LUBBOCK REGIONAL MHMR CENTER

Doing Business As: STARCARE SPECIALTY HEALTH SYSTEM

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

Address:
904 AVENUE O
LUBBOCK, TX
ZIP 79401
Phone: (806) 766-0310
Get Directions

LUBBOCK REGIONAL MHMR CENTER is a psychiatric hospital in Lubbock, TX. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. LUBBOCK REGIONAL MHMR CENTER NPI is 1992708705. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Starcare Specialty Health System.

The provider's business location address is:

904 AVENUE O
LUBBOCK, TX
ZIP 79401-924
Phone: (806) 766-0310
Fax: (806) 766-0397

The provider's authorized official is Gracie Montalvo .
The authorized official title is Reimbursement Supervisor and has the following contact phone number (806) 766-0273.

The CLIA number assigned to this NPI record is 45D2169639 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 2/2/2022.

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	Primary
1	171M00000X	Case Manager/Care Coordinator		No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	No
3	251B00000X	Case Management		No
4	251T00000X	Program of All-Inclusive Care for the Elderly (PACE) Provider Organization		No
5	261Q00000X	Clinic/Center		No
6	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
7	261QM0850X	Clinic/Center	Adult Mental Health	No
8	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
9	261QM2800X	Clinic/Center	Methadone	No
10	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
11	315P00000X	Intermediate Care Facility, Mentally Retarded		No
12	363L00000X	Nurse Practitioner		No
13	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
14	363LP2300X	Nurse Practitioner	Primary Care	No
15	283Q00000X	Psychiatric Hospital		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
1	001018313	MEDICAID	TEXAS
2	1364929-09	MEDICAID	TEXAS
3	0848970-01	MEDICAID	TEXAS
4	1364929-01	MEDICAID	TEXAS
5	1364929-03	MEDICAID	TEXAS
6	1364929-08	MEDICAID	TEXAS
7	1364929-07	MEDICAID	TEXAS
8	1364929-11	MEDICAID	TEXAS
9	1D9349	OTHER	TEXAS	MEDICARE B OTP

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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