MANAGED CARE CENTER FOR ADDICTIVE AND OTHER DISORDERS INC (NPI# 1790043404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790043404 |
| Entity Type | Organization |
| Organization Name | MANAGED CARE CENTER FOR ADDICTIVE AND OTHER DISORDERS INC |
| Practice Address |
1705 N Fm 179 Lubbock TX 79416-9441 |
| Mailing Address |
1715 26th St Lubbock TX 79411-1524 |
| Practice Telephone | 8067978003 |
| Mailing Telephone | 8067808300 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Authorized Official Name | BILLY DON HUEY (COUNSELOR/ PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8067978003 |
| Authorized Official Credential | LCDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 10889 | TX | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 065363601 | 05 |
| Street Address |
1705 N FM 179 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-9441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831422609 | John D Brown | Counselor | 1705 N Fm 179, Lubbock, TX 79416 | 2009-09-11 |
| 1710499827 | Ann Herrera | Counselor | 1705 N Fm 179, Lubbock, TX 79416-9441 | 2017-10-30 |
| 1538671813 | Maria Stella Borromeo | Counselor | 1705 N Fm 179, Lubbock, TX 79416-9441 | 2017-10-26 |
| 1417468968 | Angela Wilkerson | Counselor | 1705 N Fm 179, Lubbock, TX 79416-9441 | 2017-10-23 |
| 1023370491 | Olga T Mercado | Counselor | 1705 N Fm 179, Lubbock, TX 79416-9441 | 2012-06-12 |
| 1518274448 | Lindsey E Tibbets | Counselor | 1705 N Fm 179, Lubbock, TX 79416-9441 | 2010-09-14 |
| 1508199225 | Danny Lin Caddell | Counselor | 1705 N Fm 179, Lubbock, TX 79416 | 2009-09-14 |
| 1750614525 | Gary Richardson | Counselor | 1705 N Fm 179, Lubbock, TX 79416-9441 | 2009-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932467230 | Debbie D Hearn | Point of Service | 8200 Nashville Ave. Suite #202, Lubbock, TX 79423 | 2012-04-25 |
| 1780894022 | Calab, Inc | Point of Service | 5313 50th St Ste B, Lubbock, TX 79414-1800 | 2007-05-23 |
| 1891052791 | Thomas Blair Jr. | Point of Service | 1715 26th St, Lubbock, TX 79411-1524 | 2012-04-16 |
| 1902017437 | Calab, Inc | Point of Service | 5313 50th St Ste B, Lubbock, TX 79414-1800 | 2007-05-25 |
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| 1912561952 | Pink Vanity Beauty Bar LLC | Point of Service | 16990 Dallas Pkwy Ste 208, Dallas, TX 75248-1935 | 2019-04-25 |
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| 1669946380 | Ahmed Mirza Fnp-c, Pllc | Point of Service | 17913 Crimson Apple Way, Pflugerville, TX 78660-2423 | 2019-01-15 |
| 1891269890 | Arauco Medical Consultants | Point of Service | 400 N Saint Paul St Ste 1200, Dallas, TX 75201-6869 | 2019-01-14 |
| 1871077446 | Novacure Group, LLC | Point of Service | 5161 San Felipe St Ste 320-18, Houston, TX 77056-3633 | 2018-09-19 |
| 1114423399 | David Rutledge Bell | Point of Service | 7301 N Ranch Road 620 Ste 155-184n, Austin, TX 78726-4539 | 2018-04-05 |
| 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.