Organization · Type 2 NPI

Covenant Community Care, Inc.

Federally Qualified Health Center (FQHC) · Detroit, MI

NPI number 1689925075 Active

Practice location

20901 Moross Rd
Detroit, MI 48236-2058

Call (313) 626-2600 Map

Fax (313) 626-2605

Mailing address

559 W Grand Blvd
Detroit, MI 48216-2200

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1689925075

Covenant Community Care, Inc.'s National Provider Identifier is 1689925075, issued on Sep 25, 2012. 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.