Organization
COMMUNITY HEALTH CENTER OF LUBBOCK, INC.
Active
Other names
Arnett Benson Medical and Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P. SULLIVAN (CHIEF EXECUTIVE OFFICER)
(806) 765-2611
Entity
Organization
Contact information
Practice address
3301 CLOVIS ROAD, LUBBOCK, TX 79415
(806) 765-2611
(806) 765-0754
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
—
019021702
—
TX
Enumeration date
05/31/2006
Last updated
03/09/2021
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