Organization
COMMUNITY HEALTH CENTER OF LUBBOCK, INC.
Active
Other names
CHCL Dental Mobile Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SULLIVAN (CHIEF EXECUTIVE OFFICER)
(806) 765-2611
Entity
Organization
Contact information
Practice address
1610 5TH ST, LUBBOCK, TX 79401-2622
(806) 765-2611
(806) 319-9063
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
—
192462303
—
TX
Enumeration date
06/02/2008
Last updated
02/14/2022
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