Organization
LUBBOCK HEART HOSPITAL, LLC
Active
Other names
Lubbock Heart Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY C. VINSON FACHE (CEO)
(806) 687-7777
Entity
Organization
Contact information
Practice address
4810 NORTH LOOP 289, LUBBOCK, TX 79416-3025
(806) 687-7777
(806) 472-3763
Mailing address
4810 NORTH LOOP 289, LUBBOCK, TX 79416-3025
(806) 687-7777
(806) 472-3763
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
008015
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163219201
—
TX
05
—
163219202
—
TX
05
—
78174287
—
NM
01
—
HH1038
BCBS
TX
Enumeration date
05/24/2005
Last updated
08/15/2012
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