Ark Covernant

LBN: Ark Covernant
Ark Covernant is an health care organization with primary practice located at 45702 W Starlight Dr , Maricopa AZ 85139-6656. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty. Ark Covernant can be contacted via phone (480) 667-8101, or through Etiendem, Ngwi Rita via phone (480) 667-8101.

Contact Information

Primary practice address
45702 W Starlight Dr Maricopa AZ 85139-6656
Phone: (480) 667-8101
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Etiendem, Ngwi Rita Registered Nurse (RN)
Phone: (480) 667-8101

Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X

Profile Details

NPI number 1437862695
LBN Legal business name Ark Covernant
DBA Doing business as
Authorized official Etiendem, Ngwi Rita Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2023
Last updated Jan 3rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437862695 NPPES
Arizona MEDICAID 873312201

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