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Organization
COVENANT HEALTH SYSTEM
Active
Organization
COVENANT HEALTH SYSTEM
Active
Other names
Owens-White Outpatient Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
3615 19TH ST, LUBBOCK, TX 79410-1203
(806) 725-1011
Mailing address
1801 LIND AVE SW # 9016, RENTON, WA 98057-3368
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
000465
TX
282N00000X
General Acute Care Hospital
000465
TX
Other
Enumeration date
02/21/2007
Last updated
07/11/2025
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