Covenant Medical Center

LBN: Covenant Medical Center
Covenant Medical Center is an health care organization with primary practice located at 3615 19Th St , Lubbock TX 79410. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Radiology, Mammography, Ambulatory Health Care Facilities / Oncology, Radiation, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Covenant Medical Center can be contacted via phone (806) 725-1011, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
3615 19Th St Lubbock TX 79410
Phone: (806) 725-1011
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X
Ambulatory Health Care Facilities / Radiology 261QR0200X
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X
Ambulatory Health Care Facilities / Oncology, Radiation 261QX0203X
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1972517365
LBN Legal business name Covenant Medical Center
DBA Doing business as
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Oct 1st, 2020 - about 4 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 1972517365 NPPES
Texas MEDICAID 139461107
Texas MEDICAID B3151
Texas MEDICAID 160265105
Texas MEDICAID 592923
Texas Other A227
Texas MEDICAID B3168
Texas MEDICAID XHS41253
Texas MEDICAID 543638
Texas MEDICAID HS44IP
Texas MEDICAID HS44OP
Texas MEDICAID 139461106
Texas MEDICAID 48157279
Texas Other 752765566
Texas Other HH0291
Texas MEDICAID XHSP31253
Texas MEDICAID 100395600B
Texas MEDICAID 909867400
Texas MEDICAID COV0040N

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