Covenant Home Infusion

LBN: Methodist Children'S Hospital
Covenant Home Infusion is an health care organization with primary practice located at 4002 22Nd Pl , Lubbock TX 79410-1145. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Methodist Children'S Hospital can be contacted via phone (806) 725-6327, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
4002 22Nd Pl Lubbock TX 79410-1145
Phone: (806) 725-6327
Fax: (806) 725-4942
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 31555 Texas
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1568451763
LBN Legal business name Methodist Children'S Hospital
DBA Doing business as Covenant Home Infusion
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 19th, 2005
Last updated Jun 10th, 2021 - about 5 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 1568451763 NPPES
Other 2104505 PK
MEDICAID 112816701 PK

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