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COVENANTMD LLC NPI 1730642786


NPI Information

NPI: 1730642786
Provider Name: COVENANTMD, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 39D2128440

Address:
930 RED ROSE CT STE 104
LANCASTER, PA
ZIP 17601
Phone: (717) 287-1983
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COVENANTMD, LLC is a family medicine in Lancaster, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COVENANTMD, LLC NPI is 1730642786. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

930 RED ROSE CT STE 104
LANCASTER, PA
ZIP 17601-981
Phone: (717) 287-1983
Fax: (717) 614-1000

The provider's authorized official is Patrick Rohal .
The authorized official title is Owner and has the following contact phone number (717) 287-1983.

The CLIA number assigned to this NPI record is 39D2128440 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/8/2019 and was last updated on 4/8/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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

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