Organization
COMMUNITY HEALTH CENTER OF LUBBOCK, INC.
Active
Other names
Chatman Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P. SULLIVAN CPA (CHIEF EXECUTIVE OFFICER)
(806) 765-2611
Entity
Organization
Contact information
Practice address
2301 CEDAR AVE, LUBBOCK, TX 79404
(806) 749-0024
(806) 749-8806
Mailing address
1610 5TH ST, LUBBOCK, TX 79401-2622
(806) 765-2611
(806) 687-5826
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190217-11
—
TX
Enumeration date
02/07/2006
Last updated
02/07/2022
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