DEPARTMENT OF STATE HEALTH SERVICES


Address: 6302 Lola, Lubbock, TX 79424
Phone: 8067443577

DEPARTMENT OF STATE HEALTH SERVICES (NPI# 1578639647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578639647
Entity Type Organization
Organization Name DEPARTMENT OF STATE HEALTH SERVICES
Other Organization Name TEXAS DSHS - HSR 1 LUBBOCK
Practice Address 6302 Lola
Lubbock
TX 79424
Mailing Address 1100 W. 49th St.
Austin
TX 78756
Practice Telephone 8067443577
Practice Fax Number 8067836475
Mailing Telephone 8064587111
Enumeration Date 2006-11-28
Last Update Date 2010-08-31
Authorized Official Name BARRY WILSON (DEPUTY REGIONAL DIRECTOR)
Authorized Official Telephone 8067443577
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QP0905X Clinic/Center
Specialization: Public Health, State or Local
TX Ambulatory Health Care Facilities
Y 261QP0905X Clinic/Center
Specialization: Public Health, State or Local
H4610 TX Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 135248602 05
TX 138359805 05
TX 136130504 05
TX 138359808 05
TX 133560602 05
TX 136129702 05
TX 136480402 05
TX 136368102 05

Other Provider/Organization Names

Other Name Type Code
Texas DSHS - HSR 1 Lubbock Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316000144 Department of State Health Services Clinic/Center 2303 Se Military Dr, San Antonio, TX 78223-3542 2006-12-19
1841354677 Department of State Health Services General Acute Care Hospital 2303 S.e. Military Dr, San Antonio, TX 78223 2006-12-19
1467529230 Department of State Health Services Clinic/Center 601 W Sesame Dr, Attn Billing Office, Harlingen, TX 78550-7930 2006-11-29
1205903564 Department of State Health Services Clinic/Center 2301 N Big Spring St Ste 300, Hsr 9/10 Attn: Beki Hammontree, Midland, TX 79705-7649 2006-11-29
1639245764 Department of State Health Services Clinic/Center 2408 S 37th St, Attn Billing Office, Temple, TX 76504-7168 2006-11-28
1033285168 Department of State Health Services Clinic/Center 7430 Louis Pasteur Dr, Attn Billing Office, San Antonio, TX 78229-4507 2006-11-28
1083904965 Department of State Health Services Public Health or Welfare 1100 W 49th St, Austin, TX 78756-3101 2011-04-13
1679620454 Department of State Health Services Psychiatric Hospital 4615 Alameda Ave, El Paso, TX 79905-2702 2007-01-04
1689740789 Department of State Health Services Clinic/Center 1301 S Bowen Rd, Suite 200, Attn Billing Office, Arlington, TX 76013-2269 2006-11-28
1003982117 Department of State Health Services Clinic/Center 1517 W Front St, Attn Billing Office, Tyler, TX 75702-7822 2006-11-28

Office Location

Street Address 6302 LOLA
City LUBBOCK
State TX
Zip Code 79424

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376158121 West Texas H.a.n.d. Pllc Surgery 5613 114th St, Lubbock, TX 79424 2020-09-09
1811519044 H-e-b, Lp Clinical Medical Laboratory 4405 114th Street, Lubbock, TX 79424 2020-05-11
1184245573 Jim Lee Lowrance Chiropractor 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 2020-04-27
1134787377 April Denise Gardea Speech-Language Pathologist 6502 Slide Road Suite 204, Lubbock, TX 79424 2019-06-03
1215590658 April Dawn Fortner Counselor 7617 86th St., Lubbock, TX 79424 2019-04-22
1427514561 Thornhill Healthcare II, Inc. Pharmacy 6823 82nd St, Suite 600, Lubbock, TX 79424 2019-02-13
1174001358 Emily Cowell Technician, Other 6102 82nd St Ste 10, Lubbock, TX 79424 2018-07-31
1043718786 Edward Murphy Pharmacist 8702 Toledo Ave, Lubbock, TX 79424 2018-01-29
1013434364 Yung Ling Tsai Specialist/Technologist 4707 116th Street, Lubbock, TX 79424 2017-08-28
1285187237 Wter Quaker, Lp Clinic/Center 10205 Quaker Ave, Lubbock, TX 79424 2016-07-26
Find all providers in zip 79424

Taxonomy Information

Taxonomy Code 261QP0905X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Public Health, State or Local

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528265535 City of Lubbock Clinic/Center 80618th Street, Lubbock, TX 79401 2007-07-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770126146 Harris County Public Health & Environmental Services- Riley Chambers Clinic/Center 808 1/2 Magnolia Ave, Crosby, TX 77532-6969 2019-10-17
1740508076 Tarrant County Public Health Clinic/Center 1101 S Main St Rm 1500, Preventive Medicine Clinic, Fort Worth, TX 76104-4802 2010-05-11
1669620159 Bell County Public Heatlh District Clinic/Center 309 N 2nd St, Killeen, TX 76541-5204 2008-09-09
1750555678 City of Houston Health Department Clinic/Center Riverside Clinic, 3315 Delano, Houston, TX 77004 2008-04-22
1699973610 Ibn Sina Foundation Clinic/Center 11226 S. Wilcrest Dr., Houston, TX 77099-4313 2007-07-11
1316155880 Comal County Clinic/Center 1297 Church Hill Dr Ste 102, New Braunfels, TX 78130 2007-05-18
1144344102 Harris County Public Health & Environmental Services Laporte Clinic Clinic/Center 1009 S Broadway St, La Porte, TX 77571-5327 2007-03-16
1255455200 Harris County Public Health & Environmental Services-humble Clinic Clinic/Center 1730 Humble Place Dr, Humble, TX 77338-5275 2007-03-16
1144352881 Brazos County Clinic/Center 201 N Texas Ave, Bryan, TX 77803-5317 2007-03-09
1588791149 City of San Antonio Texas Clinic/Center 2303 Se Military Dr Bldg 528, San Antonio, TX 78223-3542 2007-02-28
Find all providers with the same taxonomy

Competitor

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City LUBBOCK
Zip Code 79424

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Dataset Information

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.

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