Organization · Type 2 NPI

Covenant Community Care, Inc.

Federally Qualified Health Center (FQHC) · Detroit, MI

NPI number 1720134943 Active

Practice location

5716 Michigan Ave
Detroit, MI 48210-3039

Call (313) 554-1095 Map

Mailing address

559 W Grand Blvd
Detroit, MI 48216-2200

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) 261QF0400X4704195855 (MI)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1720134943

Covenant Community Care, Inc.'s National Provider Identifier is 1720134943, issued on Jan 28, 2007. 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.