Organization
COVENANT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
3615 19TH ST, LUBBOCK, TX 79410
(806) 725-1011
Mailing address
PO BOX 677044, DALLAS, TX 75267-7044
(806) 725-6967
(806) 725-5356
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
—
—
261QX0203X
Radiation Oncology Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100395600B
—
KS
05
—
139461106
—
TX
05
—
139461107
—
TX
05
—
160265105
—
AR
05
—
48157279
—
CO
05
—
543638
—
AZ
05
—
592923
—
IA
01
—
752765566
CHAMPUS/TRICARE
—
05
—
909867400
—
FL
01
—
A227
BC/BS ACUTE
NM
05
—
B3151
—
NM
05
—
B3168
—
NM
05
—
COV0040N
—
AL
01
—
HH0291
BLUE CROSS
TX
05
—
HS44IP
—
AS
05
—
HS44OP
—
AS
05
—
XHS41253
—
CA
05
—
XHSP31253
—
CA
Enumeration date
07/28/2006
Last updated
05/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us