Covenant Health System

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

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

Aug 4, 2011By 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

Mr. Richard Parks

Title

Ceo

Phone

(806) 725-1011

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": "1312416000000",
    "number": "1760543342",
    "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": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-725-1011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TX",
            "license": "000465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139461108",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Covenant Health System (Covenant Medical Center)
• Covenant Health System (Aerocare)
• Covenant Health System (Covenant Substance Abuse)
• Covenant Health System (Covenant Ambulance Service)
• Covenant Health System
• Covenant Health System (Covenant Imaging Center)
• Covenant High Plains Surgery Center, LLC (Covenant High Plains Surgery Center - 22nd Street)
• Covenant High Plains Surgery Center, LLC (Covenant High Plains Surgery Center - Quaker Avenue)
• Covenant Long-Term Care LLC (Covenant Specialty Hospital)
• Covenant Long-Term Care, LP (Covenant Specialty Hospital)

• Rehabilitation Hospital Unit in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Rehabilitation Hospital Unit in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.