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NPI Code Detail

MEDICARE: LUBBOCK TEXAS HIGHLAND MEDICAL CENTER, L.P.

MEDICARE: LUBBOCK TEXAS HIGHLAND MEDICAL CENTER, L.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital000013TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050209OTHERTXAETNA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4HH0114OTHERTXBLUE CROSS PROVIDER
57523902391OTHERTXPCCA

General Provider Information

NPI Number : 1538130737
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUBBOCK TEXAS HIGHLAND MEDICAL CENTER, L.P.
Provider Business Mailing Address
First Line : 2412 50TH STREET
Second Line :
City : LUBBOCK
State : TX
Zip : 79412
Country : US
Telephone Number : 806-788-4060
Fax Number : 806-788-4278
Provider Business Practice Location Address
First Line : 2412 50TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79412-2504
Country : US
Telephone Number : 806-788-4100
Fax Number :
Authorized Official
Title or Position : V.P. OPERATIONS
Name : RODNEY L MEEKS
Credential :
Telephone Number : 806-788-4060
Provider Enumeration Date : 01/27/2006
Last Update Date : 01/14/2009

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