Covenant Medical Group, Inc
LBN: Covenant Medical Group, Inc
Covenant Medical Group, Inc is an health care organization with primary practice located at 423 Medical Park Dr Ste 100, Lenoir City TN 37772-5640. 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) 271-6575, or through Utterback, Julie G via phone (865) 374-5119.
Contact Information
Primary practice address
423 Medical Park Dr Ste 100
Lenoir City TN 37772-5640
Phone: (865) 271-6575
Fax: (865) 986-7807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1730468182 |
|---|---|
| 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 | Aug 16th, 2011 |
| 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 | 1730468182 | NPPES |
| Tennessee | MEDICAID | 3734041 |
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