COVENANT MEDICAL CENTER, INC. (NPI# 1316122120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316122120 |
| Entity Type | Organization |
| Organization Name | COVENANT MEDICAL CENTER, INC. |
| Other Organization Name | COVENANT HEALTHCARE |
| Practice Address |
1447 N Harrison St Saginaw MI 48602-4727 |
| Mailing Address |
1447 N. Harrison Saginaw MI 48602 |
| Practice Telephone | 9895835418 |
| Mailing Telephone | 9895836100 |
| Mailing Fax Number | 9895832889 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2014-12-17 |
| Authorized Official Name | MRS. MARGARET MAINE (DIRECTOR) |
| Authorized Official Telephone | 9895836100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HEALTHPLUS | 0996953 | 01 |
| Other Name | Type Code |
|---|---|
| Covenant Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780838243 | Covenant Medical Center, Inc. | Homemaker | 3241 W 9th St, Waterloo, IA 50702-5401 | 2008-11-11 |
| 1992993695 | Covenant Medical Center, Inc. | Radiology | 5570 State St, Saginaw, MI 48603-3583 | 2007-10-09 |
| 1225151897 | Covenant Medical Center, Inc. | Nurse Anesthetist, Certified Registered | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2007-04-09 |
| 1366597544 | Covenant Medical Center, Inc. | Surgery | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2007-01-25 |
| 1831244466 | Covenant Medical Center, Inc. | Clinic/Center | 5570 State St, Saginaw, MI 48603-3583 | 2007-01-24 |
| 1912056391 | Covenant Medical Center, Inc. | Behavioral Analyst | 2919 Wilder Rd, Suite 240, Bay City, MI 48706-9299 | 2007-01-09 |
| 1750493862 | Covenant Medical Center, Inc. | Skilled Nursing Facility | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2006-08-31 |
| 1972590412 | Covenant Medical Center, Inc. | Emergency Medicine | 900 Cooper St, Saginaw, MI 48602 | 2005-09-30 |
| 1588656946 | Covenant Medical Center, Inc. | General Acute Care Hospital | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2005-08-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | COVENANT MEDICAL CENTER, INC. | 3421 W 9th St, Waterloo, IA 50704 |
| Street Address |
1447 N HARRISON ST |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-4727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906827 | Arno Weiss Jr. | Plastic Surgery | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2005-07-21 |
| 1285241414 | Kelsey Marie Parker | Physical Therapist | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-10-01 |
| 1598372195 | Christopher Terrence Benson | Nurse Practitioner | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-09-28 |
| 1811502149 | Adrienne Osborn | Nurse Anesthetist, Certified Registered | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-09-14 |
| 1881209732 | Madeleine O'callaghan | Physical Therapist | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-09-08 |
| 1891309035 | Cecilia Juarez | Physical Therapist | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-09-04 |
| 1275147639 | Jessica Meichtry | Student in an Organized Health Care Education/Training Program | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-09-03 |
| 1225640501 | Jamsheed Bahaee | Student in an Organized Health Care Education/Training Program | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-08-19 |
| 1285245829 | Juwairiah Mohammad | Student in an Organized Health Care Education/Training Program | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-08-16 |
| 1184235111 | Derek Wolfe | Student in an Organized Health Care Education/Training Program | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
| Find all providers in zip 48602 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255645560 | Gwendolen Nicole Sinclair | Pediatrics | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2010-07-28 |
| 1659496727 | Haitham Yusuf Hasan Salman | Pediatrics | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2007-03-20 |
| 1891801353 | Michael Lawrence Fiore | Pediatrics | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407335144 | A2 Pediatrics Pllc | Pediatrics | 171 Rockwood Ct, Ann Arbor, MI 48103-8817 | 2018-08-13 |
| 1629503172 | Erica Jordan Rider | Pediatrics | 1500 E. Medical Center Drive F6790 Uh South, Ann Arbor, MI 48109-5243 | 2017-04-21 |
| 1871786368 | Patrick Hines | Pediatrics | 3901 Beaubien 4th Floor Carl's Bldg, Children's Hospital of Mi, Detroit, MI 48201 | 2007-08-20 |
| 1376612515 | Oximetry Co LLC | Pediatrics | 15760 19 Mile Rd, Ste F, Clinton Township, MI 48038-6319 | 2006-11-06 |
| 1235593112 | Chadd Allen Mays | Pediatrics | 100 Michigan St Ne # Mc13, Grand Rapids, MI 49503-2560 | 2016-04-07 |
| 1700248838 | Lauren Margaret Zager | Pediatrics | 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 | 2016-03-28 |
| 1316323025 | Yomayra Perez Morel | Pediatrics | 100 Michigan St Ne, Grand Rapids, MI 49503 | 2015-08-04 |
| 1861811192 | Amarilis Andrea Martin | Pediatrics | 3901 Beaubien St., Detroit, MI 48201 | 2014-04-15 |
| 1710273719 | Michael Lee Stern | Pediatrics | 1500 East Medical Center Dr, 4th Floor Cs Mott Childrens Hospital, Ann Arbor, MI 48109-4217 | 2011-06-28 |
| 1639486228 | Rekha Solomon | Pediatrics | 3901 Beaubien St, Dmc Childrens Hospital of Michigan, Detroit, MI 48201-2119 | 2010-09-03 |
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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.