COMMUNITY HEALTH CENTER OF LUBBOCK, INC. (NPI# 1912944059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912944059 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF LUBBOCK, INC. |
| Other Organization Name | ARNETT BENSON MEDICAL AND DENTAL CLINIC |
| Practice Address |
3301 Clovis Road Lubbock TX 79415 |
| Mailing Address |
1610 5th St Lubbock TX 79401-2622 |
| Practice Telephone | 8067652611 |
| Practice Fax Number | 8067650754 |
| Mailing Telephone | 8067652611 |
| Mailing Fax Number | 8066875826 |
| Enumeration Date | 2006-05-31 |
| 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 | 019021702 | 05 |
| Other Name | Type Code |
|---|---|
| Arnett Benson Medical and Dental Clinic | 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 |
| 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 |
| 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 |
3301 CLOVIS ROAD |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982930731 | Kezia E. Cottenoir | Nurse Practitioner | 3301 Clovis Road, Lubbock, TX 79415 | 2009-10-29 |
| 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 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| 1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
| 1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
| 1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
| 1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| 1245720838 | Kelli D'ann Harris | Registered Nurse | 808 Joliet Ave Unit 220, Lubbock, TX 79415 | 2018-05-18 |
| Find all providers in zip 79415 | ||||
| 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 |
| 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 |
| 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 | ||||
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTER OF LUBBOCK, INC..
| 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.