Organization
COVENANT HEALTH SYSTEM
Active
Other names
Covenant Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD PARKS (CEO)
(806) 725-1011
Entity
Organization
Contact information
Practice address
3615 19TH ST, LUBBOCK, TX 79410-1203
(806) 725-1011
(806) 723-6180
Mailing address
PO BOX 1201, LUBBOCK, TX 79408-1201
(806) 725-1011
(806) 723-6180
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
000465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085980302
—
TX
Enumeration date
01/12/2007
Last updated
08/04/2011
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