LUBBOCK COUNTY HOSPITAL DISTRICT (NPI# 1134364581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134364581 |
| Entity Type | Organization |
| Organization Name | LUBBOCK COUNTY HOSPITAL DISTRICT |
| Other Organization Name | UNIVERSITY MEDICAL CENTER |
| Practice Address |
602 Indiana Ave Lubbock TX 79415-3364 |
| Practice Telephone | 8067758200 |
| Practice Fax Number | 8064726802 |
| Mailing Telephone | 8067758200 |
| Mailing Fax Number | 8064726802 |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |
| Authorized Official Name | JOHN MARTIN (MANAGER OF EDI SERIVCES) |
| Authorized Official Telephone | 8067610843 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 137999207 | 05 |
| Other Name | Type Code |
|---|---|
| UNIVERSITY MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114991718 | Lubbock County Hospital District | Home Health | 1301 50th St, Suite 9, Lubbock, TX 79412-2939 | 2006-02-13 |
| 1972585016 | Lubbock County Hospital District | Durable Medical Equipment & Medical Supplies | 4515 W Loop 289, Lubbock, TX 79414-1235 | 2005-11-15 |
| 1487993630 | Lubbock County Hospital District | Dietitian, Registered | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2013-02-07 |
| 1922355601 | Lubbock County Hospital District | Public Health or Welfare | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2012-08-13 |
| 1598900946 | Lubbock County Hospital District | General Acute Care Hospital | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2008-12-12 |
| 1538245717 | Lubbock County Hospital District | Clinic/Center | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2006-10-31 |
| 1831299114 | Lubbock County Hospital District | Clinic/Center | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2006-09-25 |
| 1174620546 | Lubbock County Hospital District | Ambulance | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2006-09-20 |
| 1730103250 | Lubbock County Hospital District | Rehabilitation Unit | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2006-07-27 |
| 1477576783 | Lubbock County Hospital District | Clinic/Center | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2006-07-26 |
| Street Address |
602 INDIANA AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79415-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659876 | Mark Brendan Reedy | Obstetrics & Gynecology | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2005-06-14 |
| 1417571613 | Chelsea Brooke Seaton | Student in an Organized Health Care Education/Training Program | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2020-06-03 |
| 1437773728 | John Clinton Fisher IIi | Student in an Organized Health Care Education/Training Program | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2020-06-02 |
| 1700409448 | Ryan Everett Hirata | Student in an Organized Health Care Education/Training Program | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2020-05-28 |
| 1013530716 | Lillian Amezquita | Student in an Organized Health Care Education/Training Program | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2020-05-28 |
| 1457990186 | Madison Dreu Williams | Registered Nurse | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2019-12-28 |
| 1972145977 | Alicia Garcia Castanon | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2019-10-10 |
| 1770133746 | Candace Kernell | Registered Nurse | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2019-09-12 |
| 1154883767 | James William Woodwick Jr. | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2019-04-02 |
| 1811455066 | Rolando Adolfo Lugo II | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2019-03-06 |
| Find all providers in the same location | ||||
| 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 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| 1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
| 1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
| 1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
| 1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| Find all providers in zip 79415 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1093895757 | Patrick D Reeves Mdpa | Clinic/Center | 4315 28th Street, Suite 2, Lubbock, TX 79410 | 2006-10-17 |
| 1871608216 | Covenant High Plains Surgery Center, LLC | Clinic/Center | 3610 22nd Street, Lubbock, TX 79410-1307 | 2006-08-19 |
| 1932104064 | Northstar Surgical Center Lp | Clinic/Center | 4640 N Loop 289, Lubbock, TX 79416-2423 | 2005-06-15 |
| 1669909404 | Lubbock Interventional Nephrology Associates | Clinic/Center | 1126 Slide Rd, Suite # 1, Lubbock, TX 79416-5462 | 2017-05-11 |
| 1992248512 | Lubbock Vascular Access Center | Clinic/Center | 1126 Slide Rd, Suite 1, Lubbock, TX 79416-5462 | 2016-11-30 |
| 1003264425 | Lubbock Plastic Surgery Center, Lp | Clinic/Center | 10105 Quaker Ave, Lubbock, TX 79424-7380 | 2016-05-26 |
| 1639370638 | West Texas Pain Institute, LLC | Clinic/Center | 4316 23rd St, Lubbock, TX 79410-1812 | 2007-05-29 |
| 1538245717 | Lubbock County Hospital District | Clinic/Center | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2006-10-31 |
| 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.