NPIMap

Organization Active NPI

Texas Tech University Health Sciences Center - Son - Lubbock

  • Federally Qualified Health Center (FQHC)
  • Abilene, TX
National Provider Identifier
1265810642
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER - SON - LUBBOCK
Practice address
1749 Pine St
Abilene, TX 79601-3043
Phone
(325) 696-0600
Fax
(325) 676-3873
NPI assigned
May 18, 2015
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Linda McMurry, DNP, RN, NEA-BC
Title
Executive Director
Phone
(806) 743-9571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1749 Pine St
Abilene, TX 79601-3043

Mailing address

301 40TH St
Lubbock, TX 79404-2746
Phone (806) 743-9355

Other names 1

  • Abilene Community Health Center Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SONAbilene@direct.myteamcare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151029001201 TX Part A Provider - Federally Qualified Health Center (FQHC) 9537158886 Practice locations: Abilene, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265810642. Details of each certification follow.

Federally qualified health center certification: CCN 741907

Legal name
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER - SON - LUBBOCK
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 28, 2015
Last certification
Oct 28, 2015
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
1749 Pine St
Abilene, TX 79601-3043

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
TX Tech Univ HLTH Sciences4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1950 Aspen Ave
Lubbock, TX 79404
Phone (806) 740-1400

1950 Aspen Ave
#100
Lubbock, TX 79404
Phone (806) 740-1400

3703 Avenue A
Lubbock, TX 79404
Phone (806) 747-2102

6630 Quaker Ave
Ste A
Lubbock, TX 79413
Phone (806) 743-7906

Interoperability endpoints

  • Direct secure messaging: sonabilene@direct.myteamcare.com

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Billy Enrique Individual Corporate DirectorBoard Member Jan 1, 2019
Aurora Chaideshernandez Individual Corporate Director Dec 11, 2007
William H Roden Individual Corporate DirectorBoard Member Jan 1, 2020
Christie Rae Hust Individual W-2 Managing EmployeeManaging Director, Financial Operat Jul 1, 2023
Herminia Martinez Individual Corporate Director Dec 11, 2007
Rebecca D Wood Individual Corporate Director Jan 1, 2020
Esther Pena Individual Corporate Director Dec 11, 2007
Linda McMurry Individual W-2 Managing EmployeeExecutive Director Dec 11, 2007
Shelly Griffin Individual W-2 Managing EmployeeSenior Analyst May 14, 2014
Lucas S Pequeno Individual Corporate OfficerBoard Member Jan 1, 2016
Carlos Morales Individual Corporate Director Dec 11, 2007
Jorge M Sanchez Individual Corporate DirectorBoard Member Jan 1, 2016
Lavonda Henderson Individual Corporate DirectorBoard Member Jan 1, 2019
Severo Alvardo Individual Corporate Director Dec 11, 2007
Thomas L Musser Individual Corporate DirectorBoard Member Jan 1, 2020
James R Perrin Individual Corporate DirectorBoard Member Jan 1, 2017
Charles Burnett Individual Corporate OfficerBoard Member Jan 1, 2020
Texas Tech University Health Sciences Center - Son - Lubbock Organization, Abilene, TX 5% Or Greater Direct Ownership Interest Aug 15, 2015 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Texas Tech University Health Sciences Center - Son - LubbockLubbock, TX, CCN 741841 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2013
Nov 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 52

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.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1265810642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 40TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794042746",
            "telephone_number": "806-743-9355",
            "fax_number": "806-743-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013043",
            "telephone_number": "325-696-0600",
            "fax_number": "325-676-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER - SON - LUBBOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "MCMURRY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "806-743-9571",
        "authorized_official_credential": "DNP, RN, NEA-BC"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SONAbilene@direct.myteamcare.com",
            "affiliation": "N",
            "endpointDescription": "SON Abilene NON-Clinical",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1749 Pine St",
            "city": "Abilene",
            "state": "TX",
            "country_code": "US",
            "postal_code": "796013043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Abilene Community Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Abilene Community Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.