# LUBBOCK HERITAGE HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grace Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154767580
- **Authorized official:** DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 2412 50TH ST, LUBBOCK, TX 79412-2504
- **Practice address phone:** (806) 788-4000
- **Practice address fax:** (806) 788-4278
- **Mailing address:** PO BOX 676200, DALLAS, TX 75267-6200
- **Mailing address phone:** (806) 788-4000
- **Mailing address fax:** (806) 788-4278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 008730 | TX | Yes |

## Other

- **Enumeration date:** 05/13/2013
- **Last updated:** 05/15/2025