Covenant Medical Group, Inc
LBN: Covenant Medical Group, Inc
Covenant Medical Group, Inc is an health care organization with primary practice located at 629 Middle Creek Rd , Sevierville TN 37862-5014. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Covenant Medical Group, Inc can be contacted via phone (865) 774-4440, or through Utterback, Julie G via phone (865) 374-5119.
Contact Information
Primary practice address
629 Middle Creek Rd
Sevierville TN 37862-5014
Phone: (865) 774-4440
Fax: (865) 774-4868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 27646 | Tennessee |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1073823407 |
|---|---|
| LBN Legal business name | Covenant Medical Group, Inc |
| DBA Doing business as | |
| Authorized official | Utterback, Julie G |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2010 |
| Last updated | Feb 17th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073823407 | NPPES |
| Tennessee | MEDICAID | 3734041 |
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