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1992708705

NPI Code Detail

MEDICARE: LUBBOCK REGIONAL MHMR CENTER

MEDICARE: LUBBOCK REGIONAL MHMR CENTER

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
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	2084P0800X	Psychiatry Physician
3	261QP2300X	Primary Care Clinic/Center
4	261QM0850X	Adult Mental Health Clinic/Center
5	261QM2800X	Methadone Clinic
6	251B00000X	Case Management Agency
7	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
8	251T00000X	PACE Provider Organization
9	283Q00000X	Psychiatric Hospital
10	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
11	171M00000X	Case Manager/Care Coordinator
12	261QM0855X	Adolescent and Children Mental Health Clinic/Center
13	261Q00000X	Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	1D9349	OTHER	TX	MEDICARE B OTP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992708705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUBBOCK REGIONAL MHMR CENTER

Provider Business Mailing Address
First Line	:	PO BOX 2828
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79408-2828
Country	:	US
Telephone Number	:	806-766-0310
Fax Number	:	806-766-0250

Provider Business Practice Location Address
First Line	:	1950 ASPEN AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79404-1211
Country	:	US
Telephone Number	:	806-766-0213
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	BETH LAWSON
Credential	:
Telephone Number	:	806-767-1648

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	05/07/2026

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Directions to “LUBBOCK REGIONAL MHMR CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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