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COVENANT MEDICAL CENTER
NPI 1457401036
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lubbock, TX

Active since January 12, 2007CLIA Certified · 2 labs
3615 19TH ST, LUBBOCK, TX 79410(806) 725-1011(806) 723-6180 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Covenant Medical Center NPPES

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

COVENANT MEDICAL CENTER (NPI 1457401036) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Lubbock, Texas and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Richard Parks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457401036
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCOVENANT HEALTH SYSTEM
Location Address3615 19TH STLubbock, TX 79410-1203
Mailing AddressPo Box 1201Lubbock, TX 79408-1201 · (806) 725-1011 · Fax (806) 723-6180
Phone(806) 725-1011
Fax(806) 723-6180
Organization SubpartNo
Authorized OfficialRichard ParksCeo · (806) 725-1011
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 4, 2011
✔ NPI 1457401036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in TX · 000465
3615 19TH ST, Lubbock, TX 79410
Open in Google Maps ↗

Other Names 1

Doing Business AsCovenant Medical Center

Other Identifiers 2

Medicare OSCAR/certification452326TX
Medicaid085980302TX

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D0055204

Covenant Medical Center Laboratory · Lubbock, TX
Active · expires Feb 8, 2027
CLIA Number45D0055204
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Jason T. Loos
Laboratory Phone(806) 793-0037
Laboratory LocationCovenant Medical Center Laboratory3615 19th Street, Lubbock, TX 79410
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 45D0713442

Covenant Medical Center Lakeside Respiratory Care · Lubbock, TX
Active · expires Apr 27, 2027
CLIA Number45D0713442
Laboratory TypeHospital
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorDr. Jack Shannon
Laboratory Phone(806) 796-6143
Laboratory LocationCovenant Medical Center Lakeside Respiratory Care4000 24th Street, Lubbock, TX 79410
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

DR. DOANH K PHAN MD.PA.
Specialist
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4212
DR. HUGH H PAIK MD
Pathology (Anatomic Pathology & Clinical Pathology)
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 744-1887
DR. JONATHAN DAVID SKELTON M.D.
Emergency Medicine
3615 19TH ST, EMERGENCY DEPARTMENT
LUBBOCK, TX 79410
Lubbock County (806) 725-4479
DR. BARRY CRANFILL THOMAS M.D.
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4288
JAMES CHUA-TUAN M.D.
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4288
MARK S GITTINGS D.O.
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4288
NAGARJUN NARRA M.D.
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4288
ROBERT L ZUBE M.D.
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4288

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 Covenant Health System's NPI number?

The NPI number for Covenant Health System is 1457401036. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Covenant Health System located?

Covenant Health System is located at 3615 19th St, Lubbock, TX 79410. The listed phone number is (806) 725-1011.

What is Covenant Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Covenant Health System hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Covenant Health System was last updated on August 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.