Covenant Family Practice, Pc in Clarksville - Family Medicine
Covenant Family Practice, Pc - NPI 1225073166
Covenant Family Practice, Pc is a Family Medicine in Clarksville, Tennessee. Covenant Family Practice, Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Covenant Family Practice, Pc is 1225073166. The last update date is 2019-11-05.
Covenant Family Practice, Pc's current location address is Po Box 30459, Clarksville, Tennessee. You can contact this provider via phone number 9312458000 and fax number 9312450605. The mailing address for Covenant Family Practice, Pc is Po Box 30459, Clarksville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Covenant Family Practice, Pc |
|---|---|
| Address | Po Box 30459, Clarksville, Tennessee |
| Phone Number | 9312458000 |
| Fax Number | 9312450605 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wilson Alan Robert |
| Credentials | MD |
| Telephone Number | 9312451150 |
NPI Number Detail
| NPI Number | 1225073166 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2019-11-05 |
Provider Mailing Address Detail
| Address | Po Box 30459 |
|---|---|
| City | Clarksville |
| State | Tennessee (TN) |
| Post Code | 370400008 |
| Phone Number | 9312458000 |
| Fax Number | 9312450605 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3718348 | TN | -- | |
| 4062086 | TN | TN BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Covenant Family Practice, Pc by the Centers for Medicare & Medicaid Services?
The Covenant Family Practice, Pc has been assigned the NPI (National Provider Identifier) 1225073166. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Covenant Family Practice, Pc located?
The Covenant Family Practice, Pc is located at Po Box 30459, Clarksville, TN 370400008.
What is the Covenant Family Practice, Pc's area of specialization and corresponding taxonomy classification?
The Covenant Family Practice, Pc's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225073166 to Covenant Family Practice, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1225073166 to Covenant Family Practice, Pc on 2006-06-17.
As of what date was the information regarding Covenant Family Practice, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Covenant Family Practice, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-11-05.
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