NPIMap

Organization Active NPI

Covenant Medical Group

  • Radiology Clinic/Center
  • Saginaw, MI
National Provider Identifier
1811258536
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
COVENANT MEDICAL GROUP
Practice address
5570 State St
Saginaw, MI 48603-3583
Phone
(989) 583-0100
Fax
(989) 583-0108
NPI assigned
May 30, 2012
Last updated
May 30, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
COVENANT MEDICAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Mr. David F Albrough
Title
Director Patient Administration
Phone
(989) 583-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X MI Primary

Addresses

Primary practice location

5570 State St
Saginaw, MI 48603-3583

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4011

Other names 1

  • MedExpress Imaging and Diagnostics Other name

National Provider Directory

National Provider Directory
Tax ID family
Covenant Medical Group8 organizations share this tax ID, including this one
Part of
Covenant Medical Center

Other organizations with this tax ID 7

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": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1811258536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-4011",
            "fax_number": "989-583-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033583",
            "telephone_number": "989-583-0100",
            "fax_number": "989-583-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT MEDICAL CENTER, INC",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "ALBROUGH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR PATIENT ADMINISTRATION",
        "authorized_official_telephone_number": "989-583-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Imaging and Diagnostics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.