Organization · Type 2 NPI

Covenant Community Care, Inc.

Federally Qualified Health Center (FQHC) · Detroit, MI

NPI number 1255574265 Active

Practice location

1700 Waterman St
Detroit, MI 48209-2022

Call (313) 841-1612 Map

Fax (313) 554-1918

Mailing address

559 W Grand Blvd
Detroit, MI 48216-2200

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X4704195855 (MI)

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1255574265

Covenant Community Care, Inc.'s National Provider Identifier is 1255574265, issued on Apr 7, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Detroit, MI. The record was last updated on Apr 10, 2023.