NPIMap

Organization Active NPI

Department of State Health Services

Doing business as Texas DSHS - HSR 1 Lubbock

  • State or Local Public Health Clinic/Center
  • Lubbock, TX
National Provider Identifier
1578639647
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
H4610 Issued in TX
Legal business name
DEPARTMENT OF STATE HEALTH SERVICES
Doing business as
Texas DSHS - HSR 1 Lubbock
Practice address
6302 Lola
Lubbock, TX 79424
Phone
(806) 744-3577
Fax
(806) 783-6475
NPI assigned
Nov 28, 2006
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Barry Wilson
Title
Deputy Regional Director
Phone
(806) 744-3577

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X TX
State or Local Public Health Clinic/Center 261QP0905X H4610 TX Primary

Addresses

Primary practice location

6302 Lola
Lubbock, TX 79424

Mailing address

1100 W. 49TH St.
Austin, TX 78756
Phone (806) 458-7111

Other identifiers 8

IdentifierTypeStateIssuer
136480402MedicaidTX
135248602MedicaidTX
136368102MedicaidTX
138359808MedicaidTX
133560602MedicaidTX
136130504MedicaidTX
136129702MedicaidTX
138359805MedicaidTX

Other names 1

  • Texas DSHS - HSR 1 Lubbock Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DSHS Genetic Services17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1578639647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W. 49TH ST.",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78756",
            "telephone_number": "806-458-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 LOLA",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-744-3577",
            "fax_number": "806-783-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF STATE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "DEPUTY REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "806-744-3577"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "TX",
            "license": "H4610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136480402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135248602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136368102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138359808",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133560602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136130504",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136129702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138359805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas DSHS - HSR 1 Lubbock",
            "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 Aug 31, 2010; 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.