LUBBOCK HERITAGE HOSPITAL, LLC
NPI 1154767580
General Acute Care Hospital in Lubbock, TX

Q: What is Lubbock Heritage Hospital, LLC's NPI number?

The NPI number for Lubbock Heritage Hospital, LLC is 1154767580. It was assigned to this organization in the NPPES registry on May 13, 2013. The provider is doing business as Grace Medical Center.

Q: What is Lubbock Heritage Hospital, LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Active since May 13, 2013

2412 50TH ST, LUBBOCK, TX 79412(806) 788-4000(806) 788-4278 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lubbock Heritage Hospital, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUBBOCK HERITAGE HOSPITAL, LLC (NPI 1154767580), doing business as Grace Medical Center, is a healthcare organization registered as a general acute care hospital in Lubbock, Texas and active in the NPI registry since May 2013. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1154767580

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NameLUBBOCK HERITAGE HOSPITAL, LLC

Location Address2412 50TH STLubbock, TX 79412-2504

Mailing AddressPo Box 676200Dallas, TX 75267-6200 · (806) 788-4000 · Fax (806) 788-4278

Phone(806) 788-4000

Fax(806) 788-4278

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateMay 13, 2013

Last NPPES UpdateMay 15, 2025

NPPES CertifiedMay 15, 2025

✔ NPI 1154767580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

License✔ Licensed in TX · 008730

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

2412 50TH ST, Lubbock, TX 79412

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Other Names 1

Doing Business AsGrace Medical Center

Other Identifiers 1

Medicaid281514401TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLEIGH MINIELLY CRNA

Nurse Anesthetist, Certified Registered

2412 50TH ST
LUBBOCK, TX 79412

Lubbock County (806) 744-7223

HIGHLAND BARIATRIC CLINIC

Surgery

2412 50TH ST, SUITE 304
LUBBOCK, TX 79412

Lubbock County (806) 792-5552

RAJINDER SABAR M.D.

Anesthesiology

2412 50TH ST
LUBBOCK, TX 79412

Lubbock County (806) 744-7223

VICTORIA JOAN DORR MD

Internal Medicine (Hematology & Oncology)

2412 50TH ST
LUBBOCK, TX 79412

Lubbock County (806) 744-7223

TONYA ELIZABETH FIFE FNP

Nurse Practitioner (Family)

2412 50TH ST, SUITE 202
LUBBOCK, TX 79412

Lubbock County (806) 744-7223

DR. CHUONG JOHN CHAU M.D.

Anesthesiology

2412 50TH ST
LUBBOCK, TX 79412

Lubbock County (806) 744-7223

RICKY C PECK MD

Emergency Medicine

2412 50TH ST, EMERGENCY DEPARTMENT
LUBBOCK, TX 79412

Lubbock County (806) 788-4100

ANDREA GRIEGO

Nurse Anesthetist, Certified Registered

2412 50TH ST
LUBBOCK, TX 79412

Lubbock County (806) 744-7223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lubbock Heritage Hospital, LLC's NPI number?

The NPI number for Lubbock Heritage Hospital, LLC is 1154767580. It was assigned to this organization in the NPPES registry on May 13, 2013. The provider is doing business as Grace Medical Center.

Where is Lubbock Heritage Hospital, LLC located?

Lubbock Heritage Hospital, LLC is located at 2412 50th St, Lubbock, TX 79412. The listed phone number is (806) 788-4000.

What is Lubbock Heritage Hospital, LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Lubbock Heritage Hospital, LLC was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.