Organization
LUBBOCK HERITAGE HOSPITAL, LLC.
Active
Other names
GRACE SURGICAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
7509 MARSHA SHARP FWY, LUBBOCK, TX 79407-8202
(806) 725-4000
(806) 788-4278
Mailing address
PO BOX 676200, DALLAS, TX 75267-6200
(806) 725-4000
(806) 725-4001
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
13005
TX
261QR0200X
Radiology Clinic/Center
R32837
TX
261QR0206X
Mammography Clinic/Center
#M01038
TX
282N00000X
General Acute Care Hospital
008366
TX
282N00000X
General Acute Care Hospital
008730
TX
282N00000X
General Acute Care Hospital
Primary
TX008366
TX
291U00000X
Clinical Medical Laboratory
45D1057650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2815144
—
TX
05
—
281514401
—
TX
05
—
281514402
—
TX
Enumeration date
10/07/2008
Last updated
05/06/2025
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