Waterman

LBN: Covenant Community Care, Inc.
Waterman is an health care organization with primary practice located at 1700 Waterman St , Detroit MI 48209-2022. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Covenant Community Care, Inc. can be contacted via phone (313) 841-1612, or through Chavez, Anna Griebel via phone (313) 554-0485.

Contact Information

Primary practice address
1700 Waterman St Detroit MI 48209-2022
Fax: (313) 554-1918
Website:
Authorized official contact:
Name: Chavez, Anna Griebel

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 4704195855 Michigan

Profile Details

NPI number 1255574265
LBN Legal business name Covenant Community Care, Inc.
DBA Doing business as Waterman
Authorized official Chavez, Anna Griebel
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2009
Last updated Apr 10th, 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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