Organization
COMMUNITY HEALTH CENTER OF LUBBOCK, INC.
Active
Parent organization
COMMUNITY HEALTH CENTER OF LUBBOCK, INC.
Other names
96 West
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CENTER OF LUBBOCK, INC.
Authorized official
MICHAEL SULLIVAN (CEO)
(806) 765-2611
Entity
Organization
Contact information
Practice address
2401 FULTON AVE APT B, LUBBOCK, TX 79407-7727
(806) 765-2600
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
—
295467901
—
TX
Enumeration date
01/23/2012
Last updated
02/07/2022
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