Covenant Medical Center

LBN: Covenant Health System
Covenant Medical Center is an health care organization with primary practice located at 3615 19Th St , Lubbock TX 79410-1203. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Covenant Health System can be contacted via phone (806) 725-1011, or through Parks, Richard via phone (806) 725-1011.

Contact Information

Primary practice address
3615 19Th St Lubbock TX 79410-1203
Phone: (806) 725-1011
Fax: (806) 723-6180
Website:
Map and Directions
Authorized official contact:
Name: Parks, Richard
Phone: (806) 725-1011

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 000465 Texas

Profile Details

NPI number 1457401036
LBN Legal business name Covenant Health System
DBA Doing business as Covenant Medical Center
Authorized official Parks, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Aug 4th, 2011 - about 15 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 1457401036 NPPES
Texas MEDICAID 085980302

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