Parkway Community Health Clinic | |
406 Mlk Blvd Lubbock TX 79403 | |
(806) 767-9744 | |
(806) 767-9930 |
Full Name | Parkway Community Health Clinic |
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Speciality | Clinic/Center |
Location | 406 Mlk Blvd, Lubbock, Texas |
Authorized Official Name and Position | Michael P. Sullivan (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8067652611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Parkway Community Health Clinic 1610 5th St Lubbock TX 79401-2622 Ph: (806) 765-2611 | Parkway Community Health Clinic 406 Mlk Blvd Lubbock TX 79403 Ph: (806) 767-9744 |
NPI Number | 1891768321 |
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Provider Enumeration Date | 02/07/2006 |
Last Update Date | 03/09/2021 |
Medicare PECOS PAC ID | 6002710860 |
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Medicare Enrollment ID | O20040907001161 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891768321 | NPI | - | NPPES |
019021710 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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