# LUBBOCK COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UNIVERSITY MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134364581
- **Authorized official:** JOHN MARTIN (MANAGER OF EDI SERIVCES)
- **Authorized official phone:** (806) 761-0843

## Contact information

- **Practice address:** 602 INDIANA AVE, LUBBOCK, TX 79415-3364
- **Practice address phone:** (806) 775-8200
- **Practice address fax:** (806) 472-6802
- **Mailing address:** 602 INDIANA AVE, LUBBOCK, TX 79415-3364
- **Mailing address phone:** (806) 775-8200
- **Mailing address fax:** (806) 472-6802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2008
- **Last updated:** 12/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 137999207 | — | TX |