Organization · Type 2 NPI

Covenant Medical Center

Cardiac Rehabilitation Clinic/Center · Lubbock, TX

NPI number 1548878267 Active

Practice location

3615 19th, Lifestyle Centre-East Parking Garage
Lubbock, TX 79410

Call (806) 725-0314 Map

Mailing address

PO Box 677044
Dallas, TX 75267-7044

Specialties and licenses

Taxonomy	Code	License
Cardiac Rehabilitation Clinic/Center Primary	261QR0404X	None listed

Cardiac Rehabilitation Clinic/Center: Definition to come...

NPI record

NPI: 1548878267
Entity type: Organization (Type 2)
Issued: Jul 20, 2020
Last updated: Jul 20, 2020
Status: Active
Subpart: Yes of Covenant Medical Center

Other names

Covenant Medical Center - Lifestyle Centre Irc · other name

Authorized official

Dawn Boedefeld
Mgr-Regulatory & Enrollment Gov PRG
(907) 212-6354

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1548878267

Covenant Medical Center's National Provider Identifier is 1548878267, issued on Jul 20, 2020. The primary taxonomy on file is Cardiac Rehabilitation Clinic/Center (261QR0404X), and the practice location is in Lubbock, TX. The record was last updated on Jul 20, 2020.