Covenant Primary Care

LBN: Fred E. Potts, Iv, Md, Llc
Covenant Primary Care is an health care organization with primary practice located at 4906 Frederick Ave , Saint Joseph MO 64506-3246. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Fred E. Potts, Iv, Md, Llc can be contacted via phone (816) 233-3700, or through Potts, Fred E. via phone (816) 233-3700.

Contact Information

Primary practice address
4906 Frederick Ave Saint Joseph MO 64506-3246
Phone: (816) 233-3700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Potts, Fred E. Doctor of Medicine (MD)
Phone: (816) 233-3700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1467704890
LBN Legal business name Fred E. Potts, Iv, Md, Llc
DBA Doing business as Covenant Primary Care
Authorized official Potts, Fred E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 9th, 2012
Last updated Oct 9th, 2012 - about 12 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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