COVENANT HEALTH SYSTEM (NPI# 1063557544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063557544 |
| Entity Type | Organization |
| Organization Name | COVENANT HEALTH SYSTEM |
| Other Organization Name | OWENS-WHITE OUTPATIENT CENTER |
| Practice Address |
3615 19th St Lubbock TX 79410-1203 |
| Mailing Address |
Po Box 1201 Lubbock TX 79408-1201 |
| Practice Telephone | 8067251011 |
| Mailing Telephone | 8067251011 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2011-08-04 |
| Authorized Official Name | MR. RICHARD PARKS (COO) |
| Authorized Official Telephone | 8067251011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 000465 | TX | Hospitals |
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
000465 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 139461110 | 05 |
| Other Name | Type Code |
|---|---|
| Owens-White Outpatient Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720542632 | Covenant Health System | Ambulance | 4014 22nd Pl Ste 11, Lubbock, TX 79410-1127 | 2019-01-24 |
| 1033272497 | Covenant Health System | Psychiatric Hospital | 4000 22nd Pl, Lubbock, TX 79410-1894 | 2006-12-18 |
| 1073502381 | Covenant Health System | Home Health | 5828 Sebastian Pl, Suite 107, San Antonio, TX 78249-2229 | 2005-10-19 |
| 1104815414 | Covenant Health System | Home Health | 8140 N Mopac Expy, Building 2 Suite 150, Austin, TX 78759-8837 | 2005-10-19 |
| 1871582460 | Covenant Health System | Home Health | 2101 W 24th St, Plainview, TX 79072-2041 | 2005-10-17 |
| 1619966207 | Covenant Health System | Home Health | 1308 Teasley Ln, Denton, TX 76205-7946 | 2005-10-17 |
| 1184613770 | Covenant Health System | Home Health | 2103 W Michigan Ave, Midland, TX 79701-5927 | 2005-10-17 |
| 1629288238 | Covenant Health System | Substance Abuse Rehabilitation Facility | 4000 24th St, Lubbock, TX 79410-1894 | 2007-05-23 |
| 1619197696 | Covenant Health System | Ambulance | 3615 19th St, Lubbock, TX 79410-1203 | 2007-05-01 |
| 1871710202 | Covenant Health System | Clinic/Center | 3615 19th St, Lubbock, TX 79410-1203 | 2007-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COVENANT HEALTH SYSTEM FOUNDATION | 3623 22nd Pl, Lubbock, TX 79410-1317 |
| Vermont Business Registrations | COVENANT HEALTH SYSTEMS, INC. | 420 Bedford Street, Lexington, MA 02173 |
| Street Address |
3615 19TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144217100 | Thelma Wong Sutter | Specialist | 3615 19th St, Lubbock, TX 79410-1203 | 2005-10-04 |
| 1831798685 | Jacob Don Paul | Nurse Practitioner | 3615 19th St, Lubbock, TX 79410-1203 | 2020-10-22 |
| 1336778711 | Ephraim Joseph Anderson | Religious Nonmedical Practitioner | 3615 19th St, Lubbock, TX 79410-1203 | 2020-04-07 |
| 1275188229 | Emily White | Registered Nurse | 3615 19th St, Lubbock, TX 79410-1203 | 2019-08-06 |
| 1811456569 | Melinda Dixon | Nurse Practitioner | 3615 19th St, Lubbock, TX 79410-1209 | 2019-03-12 |
| 1134693880 | Alexandra D Bates | Nurse Practitioner | 3615 19th St, Lubbock, TX 79410-1203 | 2019-01-16 |
| 1790256915 | Alyssa Taylor | Pharmacist | 3615 19th St, Lubbock, TX 79410-1209 | 2018-12-16 |
| 1346723517 | Matthew E Heers | Physical Therapy Assistant | 3615 19th St, Lubbock, TX 79410-1203 | 2018-09-12 |
| 1417468992 | Tyler Little | Physician Assistant | 3615 19th St, Lubbock, TX 79410-1203 | 2017-10-23 |
| 1598294712 | David Marsh | Emergency Medicine | 3615 19th St, Lubbock, TX 79410-1203 | 2017-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801242839 | Transitional Learning Center At Galveston | Clinic/Center | 4416 10th St, Lubbock, TX 79416-4800 | 2016-05-09 |
| 1699052811 | Texas Tech Therapeutic Riding Center | Clinic/Center | 5712 County Road 1500, Lubbock, TX 79407-5412 | 2011-11-16 |
| 1689822132 | Acquistions D Elise, Inc | Clinic/Center | 6023 82nd Street, Suite 2, Lubbock, TX 79424-0806 | 2008-09-08 |
| 1679688535 | Caprock Sports Rehabilitation Center, Inc | Clinic/Center | 4712 67th St, Suite A, Lubbock, TX 79414-5004 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807615 | Rise Up Rehab, LLC | Clinic/Center | 1687 Old Hwy 90, Castroville, TX 78009 | 2019-08-22 |
| 1346897709 | Rise Up Rehab, LLC | Clinic/Center | 10410 Parrigin Rd, Helotes, TX 78023-4283 | 2019-08-21 |
| 1376016410 | Elite 360 Health and Wellness | Clinic/Center | 1409 S Lamar, Ste. 245, Dallas, TX 75215-6818 | 2019-01-10 |
| 1902333792 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 21004 Interstate 45 N, Spring, TX 77373-2917 | 2017-05-11 |
| 1023544418 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 5095 Preston Ave, Pasadena, TX 77505-2053 | 2017-05-04 |
| 1871029264 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 4818 E Sam Houston Pkwy N, Houston, TX 77015-3240 | 2017-05-04 |
| 1356793509 | Individual | Clinic/Center | 3500 Timberwood Cir Apt 2137, Arlington, TX 76015-3129 | 2016-07-11 |
| 1225401805 | Milestones | Clinic/Center | 2704 S 26th St, Mcallen, TX 78503-7812 | 2015-11-04 |
| 1326421173 | Costa Therapy Institute, LLC | Clinic/Center | 1058 Palm Blvd, Brownsville, TX 78520-6168 | 2015-06-29 |
| 1790165009 | Genesis Prostep LLC | Clinic/Center | 450 E Loop 281 Ste B1, Longview, TX 75605-7969 | 2015-06-02 |
| Find all providers with the same taxonomy | ||||
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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.