Community Health Center of Lubbock Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

COMMUNITY HEALTH CENTER OF LUBBOCK INC.

Practice address

1610 5TH St
Lubbock, TX 79401

Phone

(806) 765-2611

Fax

(806) 687-5826

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Michael P. Sullivan

Title

Chief Executive Officer

Phone

(806) 765-2611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Health Center of Lubbock Doing business as

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1356460554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 5TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794012622",
            "telephone_number": "806-765-2611",
            "fax_number": "806-687-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 5TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79401",
            "telephone_number": "806-765-2611",
            "fax_number": "806-687-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF LUBBOCK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "806-765-2611"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019021709",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Center of Lubbock",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Health Center of Lubbock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Comer, LPC
• Ericka Ann Comer
• George E Comiskey, LCDC
• Community Health Center of Lubbock
• Community Health Center of Lubbock
• Community Health Center of Lubbock, Inc
• Community Health Center of Lubbock, Inc
• Community Health Center of Lubbock, Inc
• Community Health Center of Lubbock, Inc.
• Community Health Center of Lubbock, Inc.

• All providers in Lubbock, TX
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.