CHCL DENTAL MOBILE UNIT – NPI #1720247125
Clinic/Center

CHCL DENTAL MOBILE UNIT is an AHC clinic located in LUBBOCK, TX. NPPES has assigned the NPI number 1720247125 to CHCL DENTAL MOBILE UNIT on June 02, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHCL DENTAL MOBILE UNIT” 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 4 years ago on Feb 14, 2022. 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 CHCL DENTAL MOBILE UNIT below.

NPI Profile for
COMMUNITY HEALTH CENTER OF LUBBOCK, INC.

NPI Number
1720247125
Enumeration Date

(more than 18 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): CHCL DENTAL MOBILE UNIT
Primary location
1610 5TH ST
LUBBOCK, TX 79401-2622
Phone: (806) 765-2611 Fax: (806) 319-9063
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL SULLIVAN
CHIEF EXECUTIVE OFFICER
Phone: (806) 765-2611
Updated
Certification Date
Feb 14, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHCL DENTAL MOBILE UNIT

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
MEDICAIDTX192462303
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.