Organization · Type 2 NPI
Covenant Community Care, Inc.
Federally Qualified Health Center (FQHC) · Royal Oak, MI
NPI number
1073834818
Active
Practice location
27776 Woodward Ave
Royal Oak, MI 48067-0930
Fax (248) 556-4950
Mailing address
559 W Grand Blvd
Detroit, MI 48216-2200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 4704195855 (MI) |
Federally Qualified Health Center (FQHC): Definition to come...
5 other providers at this address
- Base Dermatology, PCMOHS-Micrographic Surgery Physician Royal Oak, MI NPI 1902672652
- Bryan Daniel Sofen, MDMOHS-Micrographic Surgery Physician Royal Oak, MI NPI 1043452139
- Maria C. Massos, LLMSWClinical Social Worker Royal Oak, MI NPI 1770776130
- Marla Nicole Jahnke, MDPediatric Dermatology Physician Royal Oak, MI NPI 1518195981
- Michelle N. McClory, LCSWClinical Social Worker Royal Oak, MI NPI 1821479601
About NPI 1073834818
Covenant Community Care, Inc.'s National Provider Identifier is 1073834818, issued on Jun 16, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Royal Oak, MI. The record was last updated on May 18, 2022.