LUBBOCK REGIONAL MHMR CENTER (NPI# 1942416318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942416318 |
| Entity Type | Organization |
| Organization Name | LUBBOCK REGIONAL MHMR CENTER |
| Practice Address |
904 Avenue O Lubbock TX 79401-3924 |
| Mailing Address |
904 Avenue O P.o. Box 2828 Lubbock TX 79401-3924 |
| Practice Telephone | 8067660310 |
| Mailing Telephone | 8067660310 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2011-12-05 |
| Authorized Official Name | CATHY POPE (CEO) |
| Authorized Official Telephone | 8067660310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0848970-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639386865 | Lubbock Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 3105 29th St, Lubbock, TX 79410-3022 | 2007-05-17 |
| 1396952537 | Lubbock Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 6302 34th St, Lubbock, TX 79407-2838 | 2007-05-17 |
| 1881801827 | Lubbock Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 6306 34th St, Lubbock, TX 79407-2838 | 2007-05-17 |
| 1972710911 | Lubbock Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 8405 19th St, Lubbock, TX 79407-3900 | 2007-05-17 |
| 1265648513 | Lubbock Regional Mhmr Center | Psychiatric Hospital | 1950 Aspen Ave, Lubbock, TX 79404-1211 | 2007-05-15 |
| 1992708705 | Lubbock Regional Mhmr Center | Clinic/Center | 904 Avenue O, Lubbock, TX 79401-3924 | 2005-05-24 |
| 1588865638 | Lubbock Regional Mhmr Center | Counselor | 904 Avenue O, Lubbock, TX 79401-3924 | 2007-05-29 |
| 1255548475 | Lubbock Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 1711 30th St, Lubbock, TX 79411-1801 | 2007-05-17 |
| 1306052774 | Lubbock Regional Mhmr Center | Case Management | 904 Avenue O, Lubbock, TX 79401-3924 | 2007-05-15 |
| 1124234596 | Lubbock Regional Mhmr Center | Case Management | 904 Avenue O, Lubbock, TX 79401-3924 | 2007-05-15 |
| Street Address |
904 AVENUE O |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79401-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708705 | Lubbock Regional Mhmr Center | Clinic/Center | 904 Avenue O, Lubbock, TX 79401-3924 | 2005-05-24 |
| 1588865638 | Lubbock Regional Mhmr Center | Counselor | 904 Avenue O, Lubbock, TX 79401-3924 | 2007-05-29 |
| 1306052774 | Lubbock Regional Mhmr Center | Case Management | 904 Avenue O, Lubbock, TX 79401-3924 | 2007-05-15 |
| 1124234596 | Lubbock Regional Mhmr Center | Case Management | 904 Avenue O, Lubbock, TX 79401-3924 | 2007-05-15 |
| 1851507222 | Lubbock Regional Mhmr Center | Community/Behavioral Health | 904 Avenue O, Lubbock, TX 79401-3924 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740688837 | Cody Painter | Student in an Organized Health Care Education/Training Program | 43021 6th and Boston, Lubbock, TX 79401 | 2014-12-05 |
| 1730412511 | Chiara Eberhardt | Counselor | 1614 Ave K, Lubbock, TX 79401 | 2009-09-11 |
| 1528265535 | City of Lubbock | Clinic/Center | 80618th Street, Lubbock, TX 79401 | 2007-07-02 |
| 1184784084 | Cc Home Health of Lubbock LLC | Technician | 2118 Broadway Ave, Lubbock, TX 79401 | 2006-12-11 |
| 1003997768 | Charles Hudson | Family Medicine | Concord Medical Group, 1602 Avenue Q, Lubbock, TX 79401 | 2006-10-18 |
| 1003904376 | Thi of Texas At Lubbock II, LLC | Skilled Nursing Facility | 1401 9th Street, Lubbock, TX 79401 | 2006-10-11 |
| 1174514681 | United Supermarkets LLC | Pharmacy | 1610 5th St, Lubbock, TX 79401 | 2005-11-03 |
| 1669470332 | Jose A Suarez | Internal Medicine | 1655 Main St Ste 201, Lubbock, TX 79401 | 2005-07-07 |
| 1225696362 | Heather Leigh Robertson | Dietitian, Registered | 1628 19th St, Lubbock, TX 79401 | 2019-06-04 |
| 1912411091 | Josi Gwin | Speech-Language Pathologist | 1628 19th St, Lubbock, TX 79401 | 2017-11-28 |
| Find all providers in zip 79401 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417448770 | Leaning Red Oak, LLC | Clinic/Center | 3305 66th St Ste 5, Lubbock, TX 79413-5736 | 2018-05-22 |
| 1831614502 | Cas Counseling Services, Pllc | Clinic/Center | 3403 73rd St Ste 16, Lubbock, TX 79423-1101 | 2017-08-03 |
| 1235667601 | Dr Gerald W Pennie | Clinic/Center | 3805 22nd St Ste 1c, Lubbock, TX 79410-1142 | 2017-05-31 |
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| 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.