COVENANT MEDICAL CENTER (NPI# 1548878267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548878267 |
| Entity Type | Organization |
| Organization Name | COVENANT MEDICAL CENTER |
| Practice Address |
3615 19th Lifestyle Centre-east Parking Garage Lubbock TX 79410 |
| Mailing Address |
Po Box 677044 Dallas TX 75267-7044 |
| Practice Telephone | 8067250314 |
| Mailing Telephone | 8067250314 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | DAWN BOEDEFELD (MGR-REGULATORY & ENROLLMENT GOV PRG) |
| Authorized Official Telephone | 9072126354 |
| Is Organization Subpart | Y |
| Parent Organization Name | COVENANT MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0404X |
Clinic/Center Specialization: Rehabilitation, Cardiac Facilities |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| COVENANT MEDICAL CENTER - LIFESTYLE CENTRE IRC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689112930 | Covenant Medical Center | Pharmacy | 3615 19th St Fl 1, Lubbock, TX 79410-1203 | 2017-02-07 |
| 1972517365 | Covenant Medical Center | Clinic/Center | 3615 19th St, Lubbock, TX 79410 | 2006-07-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COVENANT MEDICAL CENTER | 3615 19th, Lubbock, TX 79410-1203 |
| Iowa Business Entities | COVENANT MEDICAL CENTER, INC. | 3421 W 9th St, Waterloo, IA 50704 |
| Street Address |
3615 19TH LIFESTYLE CENTRE-EAST PARKING GARAGE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| 1922327444 | Brittany Nicole Dawson | Internal Medicine | 3514 21st St Fl 6, Lubbock, TX 79410 | 2010-05-24 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 261QR0404X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Cardiac Facilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849425 | Mcallen Hospitals Lp | Clinic/Center | 500 E Ridge Rd Ste 200, Mcallen, TX 78503-1500 | 2020-04-07 |
| 1205101672 | Brownsville Healthcare Services, Inc | Clinic/Center | 2415 Weslaco Rd, Brownsville, TX 78520-9177 | 2012-03-17 |
| 1194799957 | Heart of The Hills Cardiac Rehab Center | Clinic/Center | 200 Sidney Baker St, Kerrville, TX 78028-5367 | 2006-02-16 |
| 1952302234 | Baseline Diagnostics of Texas, Inc. | Clinic/Center | 14300 Ellington Park Blvd, Webster, TX 77598-2563 | 2005-08-09 |
| 1043681356 | Texas Health Harris Methodist Hospital Fort Worth | Clinic/Center | 1301 Pennsylvania Ave, Ft Worth, TX 76104-2122 | 2015-10-13 |
| 1366822447 | Texas Health Presbyterian Hospital Plano | Clinic/Center | 6200 W Parker Rd, Plano, TX 75093-8185 | 2015-06-04 |
| 1437541653 | De Motu LLC | Clinic/Center | 7515 Main St, 605, Houston, TX 77030-4519 | 2015-02-25 |
| 1669863601 | Texas Health Arlington Memorial Hospital | Clinic/Center | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2015-02-12 |
| 1336432558 | Paris Heart and Vascular Care, P.a. | Clinic/Center | 2850 Lewis Ln, Pavilion 1, Suite 114, Paris, TX 75460-9383 | 2011-05-20 |
| 1639296213 | Mother Frances Hospital | Clinic/Center | 3203 S Main St, Lindale, TX 75771-7727 | 2007-03-26 |
| Find all providers with the same taxonomy | ||||
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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.