COMMUNITY HEALTH CENTER OF LUBBOCK – NPI #1356460554
Clinic/Center

COMMUNITY HEALTH CENTER OF LUBBOCK is an AHC clinic located in LUBBOCK, TX. NPPES has assigned the NPI number 1356460554 to COMMUNITY HEALTH CENTER OF LUBBOCK on March 28, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMMUNITY HEALTH CENTER OF LUBBOCK” is a dba name, the actual legal business name for this organization is COMMUNITY HEALTH CENTER OF LUBBOCK INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 8 years ago on May 29, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY HEALTH CENTER OF LUBBOCK below.

NPI Profile for
COMMUNITY HEALTH CENTER OF LUBBOCK INC.

NPI Number
1356460554
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY HEALTH CENTER OF LUBBOCK INC.
Doing Business As (dba): COMMUNITY HEALTH CENTER OF LUBBOCK
Primary location
1610 5TH ST
LUBBOCK, TX 79401
Phone: (806) 765-2611 Fax: (806) 687-5826
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL SULLIVAN
CHIEF EXECUTIVE OFFICER
Phone: (806) 765-2611
Updated
Identifiers

Identifiers for COMMUNITY HEALTH CENTER OF LUBBOCK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX019021709
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.