Covenant Community Care, Inc. in Detroit - Federally Qualified Health Center (fqhc)
Covenant Community Care, Inc. - NPI 1720134943
Covenant Community Care, Inc. is a Federally Qualified Health Center (fqhc) in Detroit, Michigan. Covenant Community Care, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Covenant Community Care, Inc. is 1720134943. The last update date is 2023-04-10.
Covenant Community Care, Inc.'s current location address is 559 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3135541095. The mailing address for Covenant Community Care, Inc. is 559 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Covenant Community Care, Inc. |
|---|---|
| Address | 559 W Grand Blvd, Detroit, Michigan |
| Phone Number | 3135541095 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Chavez Griebel Anna |
| Telephone Number | 3135540485 |
NPI Number Detail
| NPI Number | 1720134943 |
|---|---|
| Provider Enumeration Date | 2007-01-28 |
| Last Updated Date | 2023-04-10 |
Provider Mailing Address Detail
| Address | 559 W Grand Blvd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482162200 |
| Phone Number | 3135541095 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 4704195855 |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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Post Comment/ Review Below
What is the unique identifier code issued to Covenant Community Care, Inc. by the Centers for Medicare & Medicaid Services?
The Covenant Community Care, Inc. has been assigned the NPI (National Provider Identifier) 1720134943. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Covenant Community Care, Inc.'s facilities are situated?
The facilities of Covenant Community Care, Inc. are physically located at the following address: 559 W Grand Blvd, Detroit, MI, 482162200.
What is Covenant Community Care, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Covenant Community Care, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720134943 to Covenant Community Care, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1720134943 to Covenant Community Care, Inc. on 2007-01-28.
As of what date were the details pertaining to Covenant Community Care, Inc. last refreshed?
The information related to the Covenant Community Care, Inc., including its address, specialty, and other relevant details, was last updated on 2023-04-10.