COMMUNITY HEALTH CENTER OF LUBBOCK, INC. (NPI# 1528030087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528030087 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF LUBBOCK, INC. |
| Other Organization Name | CHATMAN COMMUNITY HEALTH CENTER |
| Practice Address |
2301 Cedar Ave Lubbock TX 79404 |
| Mailing Address |
1610 5th St Lubbock TX 79401-2622 |
| Practice Telephone | 8067490024 |
| Practice Fax Number | 8067498806 |
| Mailing Telephone | 8067652611 |
| Mailing Fax Number | 8066875826 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | MICHAEL P. SULLIVAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8067652611 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0190217-11 | 05 |
| Other Name | Type Code |
|---|---|
| Chatman Community Health Center | Doing Business As Name - Organization |
| 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 |
| 1053845297 | Community Health Center of Lubbock, Inc. | Counselor | 1610 5th St, Lubbock, TX 79401-2622 | 2017-04-14 |
| 1023274172 | Community Health Center of Lubbock, Inc. | Clinic/Center | 1318 Broadway, Lubbock, TX 79401-3206 | 2008-07-29 |
| 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 |
2301 CEDAR AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639142383 | Donna Mae Townsend | Nurse Practitioner | 2301 Cedar Ave, Lubbock, TX 79404-1629 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447813597 | Tiffany N Coomer | Pharmacist | 8062 Peach St, Lubbock, TX 79404 | 2019-04-15 |
| 1174712756 | American Current Care, P.a. | Clinic/Center | 160 Slaton Road, Lubbock, TX 79404 | 2007-10-18 |
| 1104029875 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 160 Slaton Highway, Lubbock, TX 79404 | 2007-06-08 |
| 1356385504 | Warden Lamar Palmer | Nurse Practitioner | 1802 E 50th St, Suite 104, Lubbock, TX 79404 | 2006-06-16 |
| 1043272834 | Cherrylene A Lindgren | Family Medicine | 4105 I-27, Lubbock, TX 79404 | 2006-04-05 |
| 1871564708 | William Benjamin Edwards | Family Medicine | 1802 E 50th Street, Suite 104, Lubbock, TX 79404 | 2006-01-30 |
| 1932181971 | Nancy Valdez | Pediatrics | 307 54th St, Lubbock, TX 79404 | 2005-11-16 |
| 1215192091 | Elizabeth Ann Scott | Counselor | 301 40th St, Lubbock, TX 79404 | 2008-07-22 |
| 1326240250 | Lee Michael Cohen | Psychologist | 1950 Aspen, Lubbock, TX 79404 | 2007-06-04 |
| 1467532416 | Jason Bradley Lentz | Family Medicine | 4105 I-27, Lubbock, TX 79404 | 2006-10-16 |
| Find all providers in zip 79404 | ||||
| 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 |
| 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 |
| 1609023191 | Texas Tech University Health Sciences Center - Son - Lubbock | Clinic/Center | 301 40th St, Lubbock, TX 79404-2811 | 2008-08-26 |
| 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.