Organization
COVENANT HEALTH SYSTEM
Active
Organization
COVENANT HEALTH SYSTEM
Active
Other names
Covenant Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
4000 22ND PL, LUBBOCK, TX 79410-1894
(806) 725-1011
Mailing address
1801 LIND AVE SW # 9016, RENTON, WA 98057-3368
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
000465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139461109
—
TX
Enumeration date
12/18/2006
Last updated
07/11/2025
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