Provider Demographics
NPI:1538130737
Name:LUBBOCK TEXAS HIGHLAND MEDICAL CENTER, L.P.
Entity Type:Organization
Organization Name:LUBBOCK TEXAS HIGHLAND MEDICAL CENTER, L.P.
Other - Org Name:HIGHLAND COMMUNITY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V.P. OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-788-4060
Mailing Address - Street 1:2412 50TH STREET
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79412
Mailing Address - Country:US
Mailing Address - Phone:806-788-4060
Mailing Address - Fax:806-788-4278
Practice Address - Street 1:2412 50TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79412-2504
Practice Address - Country:US
Practice Address - Phone:806-788-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-27
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000013282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX050209OtherAETNA
NM628232264OtherMEDICAID NM
TX135238706Medicaid
TXHH0114OtherBLUE CROSS PROVIDER
TX7523902391OtherPCCA
TXHH0114OtherBLUE CROSS PROVIDER