Organization
COMMUNITY HEALTH CLINIC LUBBOCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SULLIVAN (PRESIDENT)
(806) 765-2611
Entity
Organization
Contact information
Practice address
1610 5TH ST, LUBBOCK, TX 79401-2622
(314) 609-2227
Mailing address
1610 5TH ST, LUBBOCK, TX 79401-2622
(314) 609-2227
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
32133
TX
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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