Healthcare Provider Details
I. General information
NPI: 1972585016
Provider Name (Legal Business Name): LUBBOCK COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/15/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4515 W LOOP 289
LUBBOCK TX
79414-1235
US
IV. Provider business mailing address
PO BOX 5980
LUBBOCK TX
79408-5980
US
V. Phone/Fax
- Phone: 806-761-0880
- Fax: 806-472-6804
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 0040568 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | 0040568 |
| License Number State | TX |
VIII. Authorized Official
Name: MR.
DAVID
ALLISON
Title or Position: CEO
Credential:
Phone: 806-775-8517