Covenant Family Practice, Pc

LBN: Covenant Family Practice, Pc
Covenant Family Practice, Pc is an health care organization with primary practice located at 1000 Highway 76 , Clarksville TN 37043-8405. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Covenant Family Practice, Pc can be contacted via phone (931) 245-8000, or through Wilson, Robert Alan via phone (931) 245-1150.

Contact Information

Primary practice address
1000 Highway 76 Clarksville TN 37043-8405
Phone: (931) 245-8000
Fax: (931) 245-0605
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Robert Alan Doctor of Medicine (MD)
Phone: (931) 245-1150

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1225073166
LBN Legal business name Covenant Family Practice, Pc
DBA Doing business as
Authorized official Wilson, Robert Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Nov 5th, 2019 - about 6 years ago

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 1225073166 NPPES
Tennessee MEDICAID 3718348
Tennessee Other 4062086

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