NPI | 1265820054 |
---|---|
Doing Business As | COVENANTCARE FAMILY & URGENT CARE |
Entity Type | Organization |
Authorized Contact | SCOTT W PERRENOD CEO 888-966-2398 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
2080A0000X Pediatrics Adolescent Medicine | |
261QU0200X Clinic/Center Urgent Care | |
Enumeration Date | 2014-12-31 |
Last Update Date | 2019-01-24 |