Covenant Medical Group
LBN: Covenant Medical Group
Covenant Medical Group is an health care organization with primary practice located at 2215 Nashville Ave , Lubbock TX 79410-1105. The organization recently has 11 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Covenant Medical Group can be contacted via phone (806) 725-4800, or through Kothmann, Kristen via phone (806) 725-4800.
Contact Information
Primary practice address
2215 Nashville Ave
Lubbock TX 79410-1105
Phone: (806) 725-4800
Fax: (806) 723-6532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ||
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X |
Profile Details
| NPI number | 1376598904 |
|---|---|
| LBN Legal business name | Covenant Medical Group |
| DBA Doing business as | |
| Authorized official | Kothmann, Kristen |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Sep 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376598904 | NPPES |
| New Mexico | MEDICAID | A7086 | |
| New Mexico | Other | NM007E61 | |
| New Mexico | Other | 0038GH | |
| New Mexico | MEDICAID | 141656201 | |
| New Mexico | MEDICAID | G1594 |
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