NPIMap

Organization Active NPI

Hub City Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lubbock, TX
National Provider Identifier
1114789211
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HUB CITY SURGERY CENTER, LLC
Practice address
2232 Indiana Ave Ste 1
Lubbock, TX 79410-2147
Phone
(806) 395-4705
Fax
(806) 375-5168
NPI assigned
Jan 25, 2024
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ruben Villa, MDNPI 1659367647
Title
Physician Owner
Phone
(806) 790-1165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

2232 Indiana Ave Ste 1
Lubbock, TX 79410-2147

Mailing address

2232 Indiana Ave Ste 1
Lubbock, TX 79410-2147
Phone (806) 395-4707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240419000697 TX Part B Supplier - Ambulatory Surgical Center 5799124087 Receives reassigned benefits from 9 practitioners
Practice locations: Lubbock, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114789211. Details of each certification follow.

Ambulatory surgical center certification: CCN 45C0451286

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Hub City Surgery Center
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jul 5, 2024
Last certification
Jun 4, 2024
Facility address
2232 Indiana Avenue Suite 1
Lubbock, TX 79410

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1114789211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 INDIANA AVE STE 1",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102147",
            "telephone_number": "806-395-4707",
            "fax_number": "806-375-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 INDIANA AVE STE 1",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102147",
            "telephone_number": "806-395-4705",
            "fax_number": "806-375-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUB CITY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "806-790-1165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.