COVENANT MEDICAL GROUP (NPI# 1417381187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417381187 |
| Entity Type | Organization |
| Organization Name | COVENANT MEDICAL GROUP |
| Other Organization Name | COVENANT MEDICAL GROUP URGENT CARE |
| Practice Address |
1910 Quaker Avenue Suite 101 Lubbock TX 79407 |
| Mailing Address |
3420 22nd Pl Lubbock TX 79410-1314 |
| Practice Telephone | 8067254440 |
| Practice Fax Number | 8067254441 |
| Mailing Telephone | 8067257800 |
| Mailing Fax Number | 8067236532 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| Authorized Official Name | KRISTEN KOTHMANN (VICE PRESIDENT/COO) |
| Authorized Official Telephone | 8067257800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Covenant Medical Group Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194076422 | Covenant Medical Group | Family Medicine | 600 Irving Ave, Saginaw, MI 48602-5375 | 2012-09-26 |
| 1376598904 | Covenant Medical Group | Surgery | 2215 Nashville Ave, Lubbock, TX 79410-1105 | 2006-05-23 |
| 1538412895 | Covenant Medical Group | Family Medicine | 409 8th St, Abernathy, TX 79311-3416 | 2012-10-23 |
| 1528320967 | Covenant Medical Group | Pediatrics | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2012-06-12 |
| 1477814093 | Covenant Medical Group | Internal Medicine | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2012-05-30 |
| 1215298930 | Covenant Medical Group | Internal Medicine | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2012-05-30 |
| 1124389846 | Covenant Medical Group | Physician Assistant | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2012-05-30 |
| 1811258536 | Covenant Medical Group | Clinic/Center | 5570 State St, Saginaw, MI 48603-3583 | 2012-05-30 |
| 1295096816 | Covenant Medical Group | Internal Medicine | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2012-05-30 |
| 1922368919 | Covenant Medical Group | Emergency Medicine | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2012-05-23 |
| Street Address |
1910 QUAKER AVENUE SUITE 101 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639119704 | Jeanetta L Cole | Family Medicine | 1910 Quaker Avenue, Suite 101, Lubbock, TX 79407 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155731 | Bryce Olson Pt, LLC | Physical Therapist | 6014 45th St Ste C Lubbock, Tx 79407, 6014 45th St Ste C Lubbock, Tx 79407, Lubbock, TX 79407 | 2020-05-07 |
| 1235762923 | Fnu Sindhuja Gunasekaran | Physical Therapist | 6014 45th Street, Lubbock, TX 79407 | 2020-02-20 |
| 1770987554 | Amanda Moore | Occupational Therapist | 6548 43rd St, Lubbock, TX 79407 | 2014-10-22 |
| 1336565639 | Best Eye Visioncare, Pllc | Optometrist | 6020 34th Street, Lubbock, TX 79407 | 2014-03-11 |
| 1003249210 | Costco Wholesale Corporation | Pharmacy | 6020 34th St, Lubbock, TX 79407 | 2013-08-12 |
| 1225304686 | Community Health Center of Lubbock, Inc. | Clinic/Center | 5424 19th St Ste 200, Lubbock, TX 79407 | 2012-03-29 |
| 1023385879 | Medway Medical Equipment IIi LLC | Durable Medical Equipment & Medical Supplies | 3448 W Loop 289, Lubbock, TX 79407 | 2011-11-22 |
| 1801102553 | Jennifer Hobbs Williams | Nurse Practitioner | 1910 Quaker Ave Ste 101, Lubbock, TX 79407 | 2010-08-19 |
| 1780901496 | Joni Rodriguez | Counselor | 1611 Ave K, Lubbock, TX 79407 | 2010-04-21 |
| 1073776860 | Southwest Regional PCr, LLC | Clinical Medical Laboratory | 2002 W Loop 289 Ste 116, Lubbock, TX 79407 | 2008-07-02 |
| Find all providers in zip 79407 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174712756 | American Current Care, P.a. | Clinic/Center | 160 Slaton Road, Lubbock, TX 79404 | 2007-10-18 |
| 1174865190 | American Current Care Pa | Clinic/Center | 6048 Marsha Sharp Fwy, Lubbock, TX 79407-3726 | 2013-03-18 |
| 1326308180 | American Current Care Pa | Clinic/Center | 2301 N University Ave, Lubbock, TX 79415-1717 | 2012-05-25 |
| 1932333150 | Afhcph (1), Lp | Clinic/Center | 4833 50th St, Lubbock, TX 79414-3418 | 2009-05-04 |
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|---|---|---|---|---|
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| 1528666153 | Rapid Med Argyle | Clinic/Center | 391 Us Highway 377, Argyle, TX 76226 | 2020-10-15 |
| 1649877655 | Hero Medical Services, Pllc | Clinic/Center | 12621 Hero Way West, Leander, TX 78641 | 2020-10-02 |
| 1992302194 | Home Care Coverage Team Pllc | Clinic/Center | 8200 Liberty Grove Rd Ste 102, Rowlett, TX 75089-2322 | 2020-10-01 |
| 1649886466 | Goldfish Pediatric Urgent Care PC | Clinic/Center | 2302 Sam Rayburn Hwy # 202, Melissa, TX 75454-2696 | 2020-09-17 |
| 1336754753 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 125 Davis Blvd, Southlake, TX 76092-8209 | 2020-09-11 |
| 1831704253 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 2855 Preston Rd, Frisco, TX 75034-9438 | 2020-09-11 |
| 1053926477 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 4635 Frankford Rd, Dallas, TX 75287-7108 | 2020-09-11 |
| 1972118388 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 3805 W University Dr Ste 100, Mckinney, TX 75071-2944 | 2020-09-11 |
| 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.