Active NPI
Carillon, Inc.
Doing business as Carillon Community Clinic
- Health Service Clinic/Center
- Lubbock, TX
National Provider Identifier
1437386273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- CARILLON, INC.
- Doing business as
- Carillon Community Clinic
- Practice address
- 1717 Norfolk Ave
Lubbock, TX 79416 - Phone
- (806) 281-6000
- NPI assigned
- Jun 19, 2009
- Last updated
- Jul 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Jackson McClendon
- Title
- Chair
- Phone
- (806) 763-9561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | NU | Primary |
Addresses
Primary practice location
1717 Norfolk Ave
Lubbock, TX 79416
Mailing address
1717 Norfolk Ave
Lubbock, TX 79416-6099
Phone (806) 281-6000
Other names 1
- CARILLON COMMUNITY CLINIC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532044800000",
"number": "1437386273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 NORFOLK AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794166099",
"telephone_number": "806-281-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 NORFOLK AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79416",
"telephone_number": "806-281-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARILLON, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-19",
"last_updated": "2018-07-20",
"status": "A",
"authorized_official_last_name": "MCCLENDON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "JACKSON",
"authorized_official_title_or_position": "CHAIR",
"authorized_official_telephone_number": "806-763-9561",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CARILLON COMMUNITY CLINIC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CARILLON COMMUNITY CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.