| Community Health Center Of Lubbock Inc. | |
|
1610 5th St Lubbock TX 79401 | |
| (806) 765-2611 | |
| (806) 687-5826 |
| Full Name | Community Health Center Of Lubbock Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1610 5th St, Lubbock, Texas |
| Authorized Official Name and Position | Michael P. Sullivan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8067652611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Lubbock Inc. 1610 5th St Lubbock TX 79401-2622 Ph: (806) 765-2611 | Community Health Center Of Lubbock Inc. 1610 5th St Lubbock TX 79401 Ph: (806) 765-2611 |
| NPI Number | 1356460554 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 05/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356460554 | NPI | - | NPPES |
| 019021709 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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