COVENANT COMMUNITY CARE INC. NPI 1689925075

NPI Information

NPI: 1689925075
Provider Name: COVENANT COMMUNITY CARE, INC.

Doing Business As: MOROSS HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
20901 MOROSS RD
DETROIT, MI
ZIP 48236
Phone: (313) 626-2600
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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 1689925075. The provider is registered as an organization entity type.
The provider Is Doing Business As Moross Health Center.

The provider's business location address is:

20901 MOROSS RD
DETROIT, MI
ZIP 48236-058
Phone: (313) 626-2600
Fax: (313) 626-2605

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 9/25/2012 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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