COMMUNITY HEALTH CENTER OF LUBBOCK, INC. (NPI# 1023274172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023274172 |
Entity Type | Organization |
Organization Name | COMMUNITY HEALTH CENTER OF LUBBOCK, INC. |
Practice Address |
1318 Broadway Lubbock TX 79401-3206 |
Mailing Address |
1313 Broadway Suite 5 Lubbock TX 79401-3277 |
Practice Telephone | 8067652611 |
Practice Fax Number | 8067670589 |
Mailing Telephone | 8067652605 |
Mailing Fax Number | 8067652604 |
Enumeration Date | 2008-07-29 |
Last Update Date | 2010-07-25 |
Authorized Official Name | DEBORAH GOOLSBY (HUMAN RESOURCES DIRECTOR) |
Authorized Official Telephone | 8067652605 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
1225304686 | Community Health Center of Lubbock, Inc. | Clinic/Center | 5424 19th St Ste 200, Lubbock, TX 79407 | 2012-03-29 |
1740551787 | Community Health Center of Lubbock, Inc. | Clinic/Center | 2401 Fulton Ave Apt B, Lubbock, TX 79407-7727 | 2012-01-23 |
1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
1528030087 | Community Health Center of Lubbock, Inc. | Clinic/Center | 2301 Cedar Ave, Lubbock, TX 79404 | 2006-02-07 |
1053845297 | Community Health Center of Lubbock, Inc. | Counselor | 1610 5th St, Lubbock, TX 79401-2622 | 2017-04-14 |
1720247125 | Community Health Center of Lubbock, Inc. | Clinic/Center | 1313 Broadway, Suite 5, Lubbock, TX 79401-3277 | 2008-06-02 |
1689855819 | Community Health Center of Lubbock, Inc. | Clinic/Center | 1313 Broadway, Suite 5, Lubbock, TX 79401-3277 | 2007-11-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | COMMUNITY HEALTH CENTER OF LUBBOCK, INC., THE | 1610 5th St, Lubbock, TX 79401-2622 |
Street Address |
1318 BROADWAY |
City | LUBBOCK |
State | TX |
Zip Code | 79401-3206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386644821 | Marissa Blanco | Counselor | 1318 Broadway, Lubbock, TX 79401-3206 | 2005-07-27 |
1679944623 | Silvia Ann Velez | Counselor | 1318 Broadway, Lubbock, TX 79401-3206 | 2015-10-16 |
1033599535 | Alicia Albus | Counselor | 1318 Broadway, Lubbock, TX 79401-3206 | 2015-06-01 |
1912331745 | Jana Rae Soto | Nurse Practitioner | 1318 Broadway, Lubbock, TX 79401-3206 | 2013-08-28 |
1093153421 | Veronica Michelle Copeland | Dentist | 1318 Broadway, Lubbock, TX 79401-3206 | 2013-06-07 |
1932479607 | Hannah Korkow | Marriage & Family Therapist | 1318 Broadway, Lubbock, TX 79401-3206 | 2012-01-11 |
1033496138 | Mary Jane Concepcion | Nurse Practitioner | 1318 Broadway, Lubbock, TX 79401-3206 | 2011-11-03 |
1356646087 | Roberta Christine Weaver | Nurse Practitioner | 1318 Broadway, Lubbock, TX 79401-3206 | 2011-01-11 |
1790006369 | Sage Austin Thames | Dentist | 1318 Broadway, Lubbock, TX 79401-3206 | 2010-06-18 |
1932437621 | Premilla Diana Pinto-kini | Family Medicine | 1318 Broadway, Lubbock, TX 79401-3206 | 2009-11-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740688837 | Cody Painter | Student in an Organized Health Care Education/Training Program | 43021 6th and Boston, Lubbock, TX 79401 | 2014-12-05 |
1730412511 | Chiara Eberhardt | Counselor | 1614 Ave K, Lubbock, TX 79401 | 2009-09-11 |
1528265535 | City of Lubbock | Clinic/Center | 80618th Street, Lubbock, TX 79401 | 2007-07-02 |
1184784084 | Cc Home Health of Lubbock LLC | Technician | 2118 Broadway Ave, Lubbock, TX 79401 | 2006-12-11 |
1003997768 | Charles Hudson | Family Medicine | Concord Medical Group, 1602 Avenue Q, Lubbock, TX 79401 | 2006-10-18 |
1003904376 | Thi of Texas At Lubbock II, LLC | Skilled Nursing Facility | 1401 9th Street, Lubbock, TX 79401 | 2006-10-11 |
1174514681 | United Supermarkets LLC | Pharmacy | 1610 5th St, Lubbock, TX 79401 | 2005-11-03 |
1669470332 | Jose A Suarez | Internal Medicine | 1655 Main St Ste 201, Lubbock, TX 79401 | 2005-07-07 |
1225696362 | Heather Leigh Robertson | Dietitian, Registered | 1628 19th St, Lubbock, TX 79401 | 2019-06-04 |
1912411091 | Josi Gwin | Speech-Language Pathologist | 1628 19th St, Lubbock, TX 79401 | 2017-11-28 |
Find all providers in zip 79401 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
1750702015 | Texas Tech University Health Sciences Center Son | Clinic/Center | 2424 50th St Rm 300, Lubbock, TX 79412-2561 | 2014-01-03 |
1225304686 | Community Health Center of Lubbock, Inc. | Clinic/Center | 5424 19th St Ste 200, Lubbock, TX 79407 | 2012-03-29 |
1740551787 | Community Health Center of Lubbock, Inc. | Clinic/Center | 2401 Fulton Ave Apt B, Lubbock, TX 79407-7727 | 2012-01-23 |
1831118306 | Community Health Center of Lubbock, Inc | Clinic/Center | 1826 Parkway Dr, Suite 500, Lubbock, TX 79403 | 2006-07-18 |
1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
1891768321 | Community Health Center of Lubbock, Inc | Clinic/Center | 406 Mlk Blvd, Lubbock, TX 79403 | 2006-02-07 |
1528030087 | Community Health Center of Lubbock, Inc. | Clinic/Center | 2301 Cedar Ave, Lubbock, TX 79404 | 2006-02-07 |
1093269904 | Community Health Clinic Lubbock | Clinic/Center | 1610 5th St, Lubbock, TX 79401-2622 | 2016-08-09 |
1407116304 | South Plains Rural Health Services, Inc | Clinic/Center | 2424 50th St, Suite 204, Lubbock, TX 79412-2549 | 2012-05-24 |
Find all providers in LUBBOCK |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.