Covenant Health System

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

000465 Issued in TX

Legal business name

COVENANT HEALTH SYSTEM

Doing business as

Covenant Medical Center

Practice address

3615 19TH St
Lubbock, TX 79410-1203

Phone

(806) 725-1011

NPI assigned

Dec 13, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Melinda Clark

Title

Coo

Phone

(806) 725-0047

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Covenant Medical Center Doing business as

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1578624169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1201",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794081201",
            "telephone_number": "806-725-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101203",
            "telephone_number": "806-725-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "806-725-0047",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": "000465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INPATIENT SNF",
            "identifier": "HH2574",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Covenant Health System (Covenant Medical Center)
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• Covenant Health System (Joe Arrington Cancer Center)
• Covenant Health System (Covenant Medical Center)
• Covenant Health System (Joe Arrington Cancer Research and Treatment Center)
• Covenant Health System (Aerocare)
• Covenant Health System (Covenant Substance Abuse)
• Covenant Health System (Covenant Ambulance Service)
• Covenant Health System
• Covenant Health System (Covenant Medical Center)

• Medicare Defined Swing Bed Hospital Unit in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Medicare Defined Swing Bed Hospital Unit in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.