# COVENANT HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Owens-White Outpatient Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063557544
- **Authorized official:** DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 3615 19TH ST, LUBBOCK, TX 79410-1203
- **Practice address phone:** (806) 725-1011
- **Mailing address:** 1801 LIND AVE SW \# 9016, RENTON, WA 98057-3368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 000465 | TX | Yes |
| 282N00000X | General Acute Care Hospital | 000465 | TX | — |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 07/11/2025