# LUBBOCK HERITAGE HOSPITAL, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRACE SURGICAL HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225289499
- **Authorized official:** DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 7509 MARSHA SHARP FWY, LUBBOCK, TX 79407-8202
- **Practice address phone:** (806) 725-4000
- **Practice address fax:** (806) 788-4278
- **Mailing address:** PO BOX 676200, DALLAS, TX 75267-6200
- **Mailing address phone:** (806) 725-4000
- **Mailing address fax:** (806) 725-4001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 13005 | TX | — |
| 261QR0200X | Radiology Clinic/Center | R32837 | TX | — |
| 261QR0206X | Mammography Clinic/Center | \#M01038 | TX | — |
| 282N00000X | General Acute Care Hospital | 008366 | TX | — |
| 282N00000X | General Acute Care Hospital | 008730 | TX | — |
| 282N00000X | General Acute Care Hospital | TX008366 | TX | Yes |
| 291U00000X | Clinical Medical Laboratory | 45D1057650 | TX | — |

## Other

- **Enumeration date:** 10/07/2008
- **Last updated:** 05/06/2025