Organization
COMMUNITY HEALTH CENTER OF LUBBOCK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SULLIVAN (CEO)
(806) 765-2611
Entity
Organization
Contact information
Practice address
3502 9TH ST STE 280, LUBBOCK, TX 79415
(806) 791-5537
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
—
362609501
—
TX
01
—
741928
MEDICARE A
TX
Enumeration date
10/07/2015
Last updated
02/07/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up