Organization · Type 2 NPI

Covenant Community Care, Inc.

Federally Qualified Health Center (FQHC) · Detroit, MI

NPI number 1730465162 Active

Practice location

16411 Curtis St
Detroit, MI 48235-3202

Call (313) 838-6822 Map

Fax (313) 838-6950

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 1730465162

Covenant Community Care, Inc.'s National Provider Identifier is 1730465162, issued on Oct 31, 2011. 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 6, 2022.