Covenant High Plains Surgery Center - 22Nd Street

LBN: Covenant High Plains Surgery Center, Llc
Covenant High Plains Surgery Center - 22Nd Street is an health care organization with primary practice located at 3610 22Nd Street , Lubbock TX 79410-1307. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Covenant High Plains Surgery Center, Llc can be contacted via phone (806) 776-4772, or through Sanders, Shon via phone (610) 644-8900.

Contact Information

Primary practice address
3610 22Nd Street Lubbock TX 79410-1307
Phone: (806) 776-4772
Fax: (806) 776-4777
Website:
Map and Directions
Authorized official contact:
Name: Sanders, Shon
Phone: (610) 644-8900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X Texas

Profile Details

NPI number 1871608216
LBN Legal business name Covenant High Plains Surgery Center, Llc
DBA Doing business as Covenant High Plains Surgery Center - 22Nd Street
Authorized official Sanders, Shon
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Jun 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871608216 NPPES
Texas MEDICAID 186066001

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