Organization Active NPI

Affordable Healthcare Clinic of Lubbock, Inc.

  • Voluntary or Charitable Agency
  • Lubbock, TX
National Provider Identifier
1508140740
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
801395284 Issued in TX
Legal business name
AFFORDABLE HEALTHCARE CLINIC OF LUBBOCK, INC.
Practice address
1915 44TH St
Lubbock, TX 79412-1727
Phone
(562) 533-3924
NPI assigned
Oct 6, 2011
Last updated
Jan 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
John Robert Soto
Title
Executive Director
Phone
(562) 533-3924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 801395284 TX Primary

Addresses

Primary practice location

1915 44TH St
Lubbock, TX 79412-1727

Mailing address

5815 76TH St
Lubbock, TX 79424-1721
Phone (562) 533-3924

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1508140740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 76TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241721",
            "telephone_number": "562-533-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 44TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794121727",
            "telephone_number": "562-533-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE HEALTHCARE CLINIC OF LUBBOCK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "562-533-3924"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "TX",
            "license": "801395284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 4, 2013; 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.