NPIMap

Organization Active NPI

Covenant Clinics, LLC

Doing business as Covenant Clinics

  • Urgent Care Clinic/Center
  • Las Cruces, NM
National Provider Identifier
1093748170
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COVENANT CLINICS, LLC
Doing business as
Covenant Clinics
Practice address
3961 E Lohman Ave
Las Cruces, NM 88011
Phone
(505) 556-0200
Fax
(505) 527-1157
NPI assigned
Jul 9, 2006
Last updated
Nov 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert L Patterson, D.O.NPI 1437175171
Title
Owner
Phone
(575) 842-2486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3961 E Lohman Ave
Las Cruces, NM 88011

Mailing address

3961 E Lohman Ave
Suite #33
Las Cruces, NM 88011
Phone (575) 556-0200

Other names 1

  • Covenant Clinics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060922000452 NM Part B Supplier - Clinic/Group Practice 7911902077 Receives reassigned benefits from 9 practitioners
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

3961 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-0200

3961 E Lohman Ave
Ste 33
Las Cruces, NM 88011
Phone (505) 556-0200

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1093748170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 E LOHMAN AVE",
            "address_2": "SUITE #33",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-556-0200",
            "fax_number": "575-556-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3961 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "505-556-0200",
            "fax_number": "505-527-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-842-2486",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.