Covenant High Plains Surgery Center - Quaker Avenue

LBN: Covenant High Plains Surgery Center, Llc
Covenant High Plains Surgery Center - Quaker Avenue is an health care organization with primary practice located at 2301 Quaker Ave , Lubbock TX 79410-1874. 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) 725-8801, or through Sanders, Shon via phone (610) 644-8900.

Contact Information

Primary practice address
2301 Quaker Ave Lubbock TX 79410-1874
Phone: (806) 725-8801
Fax: (806) 725-8820
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 006930 Texas

Profile Details

NPI number 1932162195
LBN Legal business name Covenant High Plains Surgery Center, Llc
DBA Doing business as Covenant High Plains Surgery Center - Quaker Avenue
Authorized official Sanders, Shon
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Jun 7th, 2023 - about last year

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 1932162195 NPPES
Texas MEDICAID 085876301

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