Organization
LUBBOCK HERITAGE HOSPITAL, LLC
Active
Other names
Grace 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
2412 50TH ST, LUBBOCK, TX 79412-2504
(806) 788-4000
(806) 788-4278
Mailing address
PO BOX 676200, DALLAS, TX 75267-6200
(806) 788-4000
(806) 788-4278
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
008730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281514401
—
TX
Enumeration date
05/13/2013
Last updated
05/15/2025
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