NPIMap

Covenant Community Care, Inc.

A Medicare group practice based in Detroit, MI: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1254393549), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1254393549The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
5
Group size
17 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 1 place

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20041029000105 MI Part B Supplier - Clinic/Group Practice 1720134943
O20080207000047 MI Part A Provider - Federally Qualified Health Center (FQHC) 1720134943
O20080326000806 MI Part A Provider - Federally Qualified Health Center (FQHC) 1255574265
O20140331001682 MI Part A Provider - Federally Qualified Health Center (FQHC) 1558792937
O20130321000197 MI Part A Provider - Federally Qualified Health Center (FQHC) 1689925075

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 23

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (17).

Sources for this page