# METHODIST CHILDREN'S HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Covenant Children's Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437171568
- **Authorized official:** DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 4015 22ND PLACE, LUBBOCK, TX 79410-1203
- **Practice address phone:** (806) 725-1011
- **Mailing address:** PO BOX 677044, DALLAS, TX 75267-7044
- **Mailing address phone:** (806) 725-6967
- **Mailing address fax:** (806) 725-5356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | — |
| 282NC2000X | Children's Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 05/09/2025