NPIMap

Organization Active NPI

Community Health Center of Lubbock, Inc

Doing business as CHCL Community Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Lubbock, TX
National Provider Identifier
1831118306
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CENTER OF LUBBOCK, INC
Doing business as
CHCL Community Dental Clinic
Practice address
1826 Parkway Dr Ste 500
Lubbock, TX 79403-4406
Phone
(806) 687-6259
Fax
(806) 771-0850
NPI assigned
Jul 18, 2006
Last updated
Feb 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Mr. Michael P. Sullivan
Title
Chief Executive Officer
Phone
(806) 765-2611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1826 Parkway Dr Ste 500
Lubbock, TX 79403-4406

Mailing address

1610 5TH St
Lubbock, TX 79401-2622
Phone (806) 765-2611

Other identifiers 1

IdentifierTypeStateIssuer
019021712MedicaidTX

Other names 1

  • CHCL Community Dental Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1831118306. Details of each certification follow.

  • CCN 671833 Federally qualified health center · Active · Name & address match · Details
  • CCN 971114 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 671833

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHCL COMMUNITY DENTAL CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 23, 2006
Last certification
Feb 23, 2006
Ownership / control type
For profit – corporation
Facility address
1826 Parkway Drive, Suite 500
Lubbock, TX 79403
Related CCNs
451930

Federally qualified health center certification: CCN 971114

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHCL COMMUNITY DENTAL CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 28, 2026
Last certification
Apr 28, 2026
Ownership / control type
For profit – corporation
Facility address
1826 Parkway Drive
Lubbock, TX 79403

National Provider Directory

National Provider Directory

Locations

1826 Parkway Dr
Ste 500
Lubbock, TX 79403
Phone (806) 687-6259

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1831118306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 5TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794012622",
            "telephone_number": "806-765-2611",
            "fax_number": "806-687-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 PARKWAY DR STE 500",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794034406",
            "telephone_number": "806-687-6259",
            "fax_number": "806-771-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF LUBBOCK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "806-765-2611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019021712",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHCL Community Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHCL Community Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.