Organization
COVENANT MEDICAL CENTER
Active
Parent organization
COVENANT MEDICAL CENTER
Other names
COVENANT MEDICAL CENTER - LIFESTYLE CENTRE IRC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COVENANT MEDICAL CENTER
Authorized official
DAWN BOEDEFELD (MGR-REGULATORY & ENROLLMENT GOV PRG)
(907) 212-6354
Entity
Organization
Contact information
Practice address
3615 19TH, LIFESTYLE CENTRE-EAST PARKING GARAGE, LUBBOCK, TX 79410
(806) 725-0314
Mailing address
PO BOX 677044, DALLAS, TX 75267-7044
(806) 725-0314
Taxonomy
Speciality
Code
Description
License number
State
261QR0404X
Cardiac Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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