Organization
COVENANT HEALTH SYSTEM
Active
Other names
Owens-White Outpatient 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
3615 19TH ST, LUBBOCK, TX 79410-1203
(806) 725-1011
Mailing address
1801 LIND AVE SW # 9016, RENTON, WA 98057-3368
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
000465
TX
282N00000X
General Acute Care Hospital
000465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139461110
—
TX
Enumeration date
02/21/2007
Last updated
07/11/2025
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