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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