COVENANT HEALTH MEDICAL GROUP (NPI# 1043850621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043850621 |
Entity Type | Organization |
Organization Name | COVENANT HEALTH MEDICAL GROUP |
Practice Address |
10831 Combie Rd Ste D Auburn CA 95602-8953 |
Mailing Address |
330 Cape Horn Rd E Colfax CA 95713-9434 |
Practice Telephone | 5302324646 |
Mailing Telephone | 5302324646 |
Enumeration Date | 2020-01-10 |
Last Update Date | 2020-01-10 |
Authorized Official Name | BROOKE S JUNGI (PRACTICE OPERATIONS MANAGER) |
Authorized Official Telephone | 5304516234 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Address | Telephone Number | Fax Number |
---|---|---|
11386 Pleasant Valley Rd, Penn Valley, CA 959469000 | 5304516234 |
Street Address |
10831 COMBIE RD STE D |
City | AUBURN |
State | CA |
Zip Code | 95602-8953 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144770793 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 12183 Locksley Ln Ste 107, Auburn, CA 95602 | 2016-10-06 |
1073904231 | Bunny Stanfield | Psychologist | 6435 Fairway Ct., Auburn, CA 95602 | 2015-02-10 |
1326319419 | Blake Reed Williams | Counselor | 10593 Rockview Ct, Auburn, CA 95602 | 2012-01-20 |
1548387970 | Richard Earl Thornton | Chiropractor | 10988 Combie Road, Suite 100, Auburn, CA 95602 | 2007-03-22 |
1346378957 | Stanford K Schulte | Marriage & Family Therapist | 3215 Fortune Court, Auburn, CA 95602 | 2007-03-02 |
1144372590 | Daniel E Mertz Dds Inc | Dentist | 3205 Professional Dr, Auburn, CA 95602 | 2007-01-17 |
1619035805 | Robert Lee Hook | General Practice | 11775 Education St Ste 211, Auburn, CA 95602 | 2006-12-04 |
1568536191 | Sierra Foothills Surgical Specialists Inc | Surgery | 3257 Professional Drive, Suite E, Auburn, CA 95602 | 2006-11-17 |
1093898710 | David Ray Norcott | Optometrist | 3211 Fortune Court, Auburn, CA 95602 | 2006-10-24 |
1467553834 | Heather Lynne Perry | Chiropractor | 3275 Fortune Ct, Auburn, CA 95602 | 2006-09-26 |
Find all providers in zip 95602 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1265687818 | Cary Creek Medical PC Dba Beauregard Clinic | Clinic/Center | 2900 E University Dr Ste 110, Auburn, AL 36830-7720 | 2008-11-24 |
1013522580 | Holistic Family Care Clinic LLC | Clinic/Center | 721 M St Ne Ste 105, Auburn, WA 98002-4503 | 2020-09-11 |
1346488707 | Auburn Primary Care, PC | Clinic/Center | 12 7th St, Auburn, GA 30011-3202 | 2009-01-23 |
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1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.