COVENANT COMMUNITY CARE INC NPI 1558792937

NPI Information

NPI: 1558792937
Provider Name: COVENANT COMMUNITY CARE, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
18917 JOY RD
DETROIT, MI
ZIP 48228
Phone: (313) 554-0485
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COVENANT COMMUNITY CARE, INC is a federally qualified health center (fqhc) clinic center in Detroit, MI. COVENANT COMMUNITY CARE, INC NPI is 1558792937. The provider is registered as an organization entity type.

The provider's business location address is:

18917 JOY RD
DETROIT, MI
ZIP 48228-050
Phone: (313) 554-0485

The provider's authorized official is Paul Propson .
The authorized official title is Ceo and has the following contact phone number (313) 554-0485.

The enumeration date for this NPI number is 12/10/2013 and was last updated on 7/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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