Healthcare Provider Details

I. General information

NPI: 1821087164
Provider Name (Legal Business Name): LUBBOCK COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 INDIANA AVE
LUBBOCK TX
79415-3364
US

IV. Provider business mailing address

602 INDIANA AVE
LUBBOCK TX
79415-3364
US

V. Phone/Fax

Practice location:
  • Phone: 806-775-8200
  • Fax: 806-472-6802
Mailing address:
  • Phone: 806-775-8200
  • Fax: 806-472-6802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: TERRY OLAN MCKENZIE
Title or Position: DIRECTOR OF GOVERNMENT REIMBURSEMEN
Credential:
Phone: 806-761-0809