Provider Demographics
NPI:1235301854
Name:NORTH QUAKER HOSPITAL, LP
Entity Type:Organization
Organization Name:NORTH QUAKER HOSPITAL, LP
Other - Org Name:TRUSTPOINT HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-973-3500
Mailing Address - Street 1:4302 PRINCETON STREET
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79415-1304
Mailing Address - Country:US
Mailing Address - Phone:806-749-2222
Mailing Address - Fax:806-749-5555
Practice Address - Street 1:4302 PRINCETON STREET
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-1304
Practice Address - Country:US
Practice Address - Phone:806-749-2222
Practice Address - Fax:806-749-5555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67T050Medicare Oscar/Certification