Covenant Child Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

COVENANT CHILD INC

Practice address

801 W Bush Ave
Artesia, NM 88210-1255

Phone

(575) 746-6277

Fax

(575) 746-6471

NPI assigned

Feb 9, 2009

Last updated

Feb 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pat M Rupe, MSW

Title

Executive Director

Phone

(575) 746-6277

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1386883700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W BUSH AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101255",
            "telephone_number": "575-746-6277",
            "fax_number": "575-746-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BUSH AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101255",
            "telephone_number": "575-746-6277",
            "fax_number": "575-746-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CHILD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "RUPE",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "575-746-6277",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF ARTESIA BUSINESS LICENSE",
            "identifier": "020080358",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Michelle Ciro
• Linda Ann Ciro, SPEECH LANGUAGE PATH
• City of Artesia (Artesia Ambulance Service)
• Archella Simone Clay, MOTR/L
• Breanna Contreras
• Ruth Honey Covin-Weeks, PMHCNS-BC
• Xan Creighton
• Laurie Danielle Crockett, APRN
• Patricia A Crook, LMHC
• Rachel Crutcher, CSW

• Exclusive Provider Organization in Artesia, NM
• Providers in Artesia, NM by specialty
• Exclusive Provider Organization in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.