Organization Active NPI

Covenant Care FCH

  • Health Service Clinic/Center
  • Murphy, NC
National Provider Identifier
1114253564
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
FCL-020015 Issued in NC
Legal business name
COVENANT CARE FCH
Practice address
515 Nottley River Rd.
Murphy, NC 28906-7758
Phone
(828) 835-3605
NPI assigned
Oct 20, 2009
Last updated
Oct 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Mrs. Gail H Payne
Title
Administrator
Phone
(828) 835-3605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X FCL-020015 NC Primary

Addresses

Primary practice location

515 Nottley River Rd.
Murphy, NC 28906-7758

Mailing address

515 Nottley River Rd
Murphy, NC 28906-7758
Phone (828) 835-3605

Other identifiers 1

IdentifierTypeStateIssuer
7805192MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Covenant Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1114253564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NOTTLEY RIVER RD",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289067758",
            "telephone_number": "828-835-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NOTTLEY RIVER RD.",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289067758",
            "telephone_number": "828-835-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE FCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-835-3605",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "FCL-020015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805192",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.