NPIMap

Organization Active NPI

Covenant Health Center

Doing business as Covenant Breast Center

  • Mammography Clinic/Center
  • Lubbock, TX
National Provider Identifier
1609093038
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
000465 Issued in TX
Legal business name
COVENANT HEALTH CENTER
Doing business as
Covenant Breast Center
Practice address
3615 19TH St
Lubbock, TX 79410-1203
Phone
(806) 725-1011
Fax
(806) 723-6180
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Steven Hunter
Title
Ceo
Phone
(806) 725-0579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X 000465 TX Primary

Addresses

Primary practice location

3615 19TH St
Lubbock, TX 79410-1203

Mailing address

PO Box 1201
Lubbock, TX 79408-1201
Phone (806) 725-1011

Other identifiers 1

IdentifierTypeStateIssuer
7527465566OtherTXBREAST CENTER

Other names 1

  • Covenant Breast Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CHC West11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

4102 24th St
Ste 102
Lubbock, TX 79410
Phone (806) 725-7908

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609093038",
    "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",
            "fax_number": "806-723-6180"
        },
        {
            "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",
            "fax_number": "806-723-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-725-0579",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "TX",
            "license": "000465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREAST CENTER",
            "identifier": "7527465566",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Breast Center",
            "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 22, 2020; 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.