Organization Active NPI

Mercy Health and Consulting

  • Clinic/Center
  • Lubbock, TX
National Provider Identifier
1649922105
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MERCY HEALTH AND CONSULTING
Practice address
1415 34TH St
Lubbock, TX 79411-2625
Phone
(806) 416-1483
NPI assigned
Jan 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Mohamad Altabaa
Title
Manager
Phone
(806) 319-1596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1415 34TH St
Lubbock, TX 79411-2625

Mailing address

1415 34TH St
Lubbock, TX 79411-2625
Phone (806) 416-1483

Other names 1

  • Mercy Health and Consulting Former legal business name

National Provider Directory

National Provider Directory

Locations

1415 34th St
Lubbock, TX 79411
Phone (806) 416-1483

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1649922105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794112625",
            "telephone_number": "806-416-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794112625",
            "telephone_number": "806-416-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "ALTABAA",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "806-319-1596"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Health and Consulting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Health and Consulting",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 25, 2022; 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.