COVENANT SLEEP CLINIC OF OXFORD, LLC


Address: 2908 South Lamar Blvd, Suite 200, Oxford, MS 38655
Phone: 6622367807

COVENANT SLEEP CLINIC OF OXFORD, LLC (NPI# 1922142215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922142215
Entity Type Organization
Organization Name COVENANT SLEEP CLINIC OF OXFORD, LLC
Other Organization Name SLEEP UNLIMITED OF OXFORD, LLC
Practice Address 2908 South Lamar Blvd
Suite 200
Oxford
MS 38655
Practice Telephone 6622367807
Practice Fax Number 6622367854
Mailing Telephone 6622367807
Mailing Fax Number 6622367854
Enumeration Date 2007-02-19
Last Update Date 2014-07-07
Authorized Official Name KENNETH K GOWEN III (PRESIDENT)
Authorized Official Telephone 6622367807
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1200X Clinic/Center
Specialization: Sleep Disorder Diagnostic
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Sleep Unlimited of Oxford, LLC Former Legal Business Name - Organization

Office Location

Street Address 2908 SOUTH LAMAR BLVD
SUITE 200
City OXFORD
State MS
Zip Code 38655

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NPI Name Taxonomy Address Enumeration
1619585809 Oxford Treatment Center, LLC Substance Abuse Rehabilitation Facility 616 Commerce Parkway, Oxford, MS 38655 2020-07-14
1760044465 Lindsay Low Beauchamp Speech-Language Pathologist 169 Ms-6 #102, Oxford, MS 38655 2019-07-02
1861058075 Tomiko D Mackey Social Worker 100 Carriage Cove, Oxford, MS 38655 2019-05-13
1174090039 Derionne Brooks Specialist/Technologist 972 Hathorn Road, University, MS 38655 2018-10-30
1497236327 Providence Companion Care Nurse's Aide 317 Heritage Dr Ste 3b, Oxford, MS 38655 2018-08-28
1255817292 Marcela Caroline Weber Counselor 152 Mississippi 7 South, Oxford, MS 38655 2018-07-12
1649775123 Oxford Outpatient Center, LLC Clinic/Center 611 Commerce Pkwy, Oxford, MS 38655 2018-03-27
1073039962 Sharon Yvette Holloway Social Worker 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 2017-08-22
1447774682 Courtney M Purvis Physical Therapist 300 Enterprise Dr Ste B, Oxford, MS 38655 2017-07-31
1649716580 Taylor Lynn Smith Counselor 152 Ms-7, Oxford, MS 38655 2017-01-17
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Taxonomy Information

Taxonomy Code 261QS1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Sleep Disorder Diagnostic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235177635 Renaissance Sleep and Diagnostic Center Clinic/Center 1325 Wooley Rd, Oxford, MI 48371-3325 2006-06-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578062725 Gulf Coast Sleep Medicine LLC Clinic/Center 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 2018-02-02
1700316288 The Sleep Lab, LLC Clinic/Center 162 Houston Acres, Florence, MS 39073-9708 2017-06-15
1083965305 American Sleep Associates, Inc Clinic/Center 601 Renaissance Way, Ste. B, Ridgeland, MS 39157-6038 2012-09-26
1114291341 Sleep Management Systems, LLC Clinic/Center 670 Highway 178 W Ste 5, Sherman, MS 38869-7000 2012-03-06
1932338472 Alpha Sleep, LLC Clinic/Center 111 Lamar Ave, Hattiesburg, MS 39402 2009-07-06
1801078951 Sweet Magnolia Moon, A Sleep Center, LLC Clinic/Center 6026 U S Highway 98, Suite 3, Hattiesburg, MS 39402-8861 2007-11-30
1831251925 Hattiesburg Clinic Pa Clinic/Center 101 Courtenay Cir, Hattiesburg, MS 39402-3153 2006-12-14
1104831809 Indianola Sleep Clinic, LLC Clinic/Center 103 W Jackson St, Belzoni, MS 39038-3500 2006-07-30
1669413381 Sleep Study Clinics of West Tennessee LLC Clinic/Center 7420 Guthrie Dr N, Ste 101, Southaven, MS 38671-5876 2006-06-10
1659318574 Sleep Diagnostics, LLC Clinic/Center 7600 Airways Blvd, Ste G, Southaven, MS 38671 2006-05-31
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Competitor

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City OXFORD
Zip Code 38655

Improve Information

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Dataset Information

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.

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