COVENANT COMMUNITY CARE INC NPI 1770852634

NPI Information

NPI: 1770852634
Provider Name: COVENANT COMMUNITY CARE, INC

Doing Business As: FAMILY DENTAL CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
5716 MICHIGAN AVE
DETROIT, MI
ZIP 48210
Phone: (313) 554-3880
Get Directions

COVENANT COMMUNITY CARE, INC is a federally qualified health center (fqhc) clinic center in Detroit, MI. COVENANT COMMUNITY CARE, INC NPI is 1770852634. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Dental Center.

The provider's business location address is:

5716 MICHIGAN AVE
DETROIT, MI
ZIP 48210-039
Phone: (313) 554-3880
Fax: (313) 899-3550

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

The enumeration date for this NPI number is 12/22/2011 and was last updated on 12/22/2011.

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	261QD0000X	Clinic/Center	Dental			No
2	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »