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Organization
COVENANT MEDICAL CENTER
Active
Organization
COVENANT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
3615 19TH ST, LUBBOCK, TX 79410
(806) 725-1011
Mailing address
PO BOX 677044, DALLAS, TX 75267-7044
(806) 725-6967
(806) 725-5356
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
261QR0206X
Mammography Clinic/Center
—
NULL
261QX0203X
Radiation Oncology Clinic/Center
—
NULL
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
07/28/2006
Last updated
05/09/2025
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