NPI | 1891258877 |
---|---|
Doing Business As | COVENANT FAMILY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary For Enrollment 425-525-5392 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2019-04-08 |
Last Update Date | 2021-12-16 |