COMMUNITY HEALTH CENTER OF LUBBOCK, INC. (NPI# 1053845297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053845297 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF LUBBOCK, INC. |
| Practice Address |
1610 5th St Lubbock TX 79401-2622 |
| Practice Telephone | 8067652611 |
| Mailing Telephone | 8067652611 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |
| Authorized Official Name | MICHAEL SULLIVAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8067652611 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 74509 | TX | Behavioral Health & Social Service Providers |
| 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 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1528030087 | Community Health Center of Lubbock, Inc. | Clinic/Center | 2301 Cedar Ave, Lubbock, TX 79404 | 2006-02-07 |
| 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 |
1610 5TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79401-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174514681 | United Supermarkets LLC | Pharmacy | 1610 5th St, Lubbock, TX 79401 | 2005-11-03 |
| 1134747280 | Austin Michael Hasquet | Dentist | 1610 5th St, Lubbock, TX 79401-2622 | 2020-07-06 |
| 1083267819 | Eshaan Mehta | Dentist | 1610 5th St, Lubbock, TX 79401-2622 | 2019-07-21 |
| 1750876801 | Landry David Clapp | Dentist | 1610 5th St, Lubbock, TX 79401-2622 | 2018-06-29 |
| 1174013015 | Enrique Dominguez | Pharmacist | 1610 5th St, Lubbock, TX 79401-2622 | 2018-05-16 |
| 1154844264 | Patrick Elliott Wong | Dentist | 1610 5th St, Lubbock, TX 79401-2622 | 2017-07-20 |
| 1780118729 | Robert J. Ragland | Counselor | 1610 5th St, Lubbock, TX 79401-2622 | 2017-04-17 |
| 1730635152 | Community Health Center of Lubbock | Clinic/Center | 1610 5th St, Lubbock, TX 79401-2622 | 2016-08-26 |
| 1093269904 | Community Health Clinic Lubbock | Clinic/Center | 1610 5th St, Lubbock, TX 79401-2622 | 2016-08-09 |
| 1396190823 | Sandra Maerzacker | Pediatrics | 1610 5th St, Lubbock, TX 79401-2622 | 2016-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740688837 | Cody Painter | Student in an Organized Health Care Education/Training Program | 43021 6th and Boston, Lubbock, TX 79401 | 2014-12-05 |
| 1730412511 | Chiara Eberhardt | Counselor | 1614 Ave K, Lubbock, TX 79401 | 2009-09-11 |
| 1528265535 | City of Lubbock | Clinic/Center | 80618th Street, Lubbock, TX 79401 | 2007-07-02 |
| 1184784084 | Cc Home Health of Lubbock LLC | Technician | 2118 Broadway Ave, Lubbock, TX 79401 | 2006-12-11 |
| 1003997768 | Charles Hudson | Family Medicine | Concord Medical Group, 1602 Avenue Q, Lubbock, TX 79401 | 2006-10-18 |
| 1003904376 | Thi of Texas At Lubbock II, LLC | Skilled Nursing Facility | 1401 9th Street, Lubbock, TX 79401 | 2006-10-11 |
| 1669470332 | Jose A Suarez | Internal Medicine | 1655 Main St Ste 201, Lubbock, TX 79401 | 2005-07-07 |
| 1225696362 | Heather Leigh Robertson | Dietitian, Registered | 1628 19th St, Lubbock, TX 79401 | 2019-06-04 |
| 1912411091 | Josi Gwin | Speech-Language Pathologist | 1628 19th St, Lubbock, TX 79401 | 2017-11-28 |
| 1801116314 | Anju Varghese-thomas | Dentist | 2402 19th St, Lubbock, TX 79401 | 2010-06-07 |
| Find all providers in zip 79401 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314858 | Madison Bishop | Counselor | 7526 103rd St, Lubbock, TX 79424-6699 | 2020-10-22 |
| 1356948574 | Patricia May Johnson | Counselor | 4601 20th St, Lubbock, TX 79407-2307 | 2020-10-01 |
| 1023627304 | Denovo Therapy LLC | Counselor | 2345 50th St Ste 501, Lubbock, TX 79412-2565 | 2020-07-23 |
| 1770115677 | Melinda S. Hutcherson | Counselor | 4304 94th St, Lubbock, TX 79423-3958 | 2020-02-07 |
| 1336619790 | Jeong Han Kim | Counselor | 3601 4th St Stop 6225, Lubbock, TX 79430-6225 | 2018-11-28 |
| 1427531052 | Catholic Charities | Counselor | 102 Avenue J, Lubbock, TX 79401-1438 | 2018-09-10 |
| 1407380587 | Karmen Adkins Neal | Counselor | 2574 74th Street, Suite 213, Lubbock, TX 79423 | 2017-04-17 |
| 1225560071 | Kellye Wilhite | Counselor | 410 Ironton Ave, Lubbock, TX 79416-4102 | 2017-03-31 |
| 1972043545 | Angela Lee | Counselor | 2781 81st St, Lubbock, TX 79423-2229 | 2017-03-02 |
| 1003285321 | Gabrielle K Keenum Ma Lpc PC | Counselor | 6309 Indiana Ave Ste D, Lubbock, TX 79413-5739 | 2015-09-16 |
| Find all providers in LUBBOCK | ||||
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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.