Covenant Care

Organization Active NPI Health Service Clinic/Center · Murphy, NC

NPI 1891027793 · NPPES record last updated Feb 3, 2010

Key facts

NPI
1891027793
Entity type
Organization (NPI type 2)
Primary specialty
Health Service Clinic/Center 261QH0100X
License
FCL-020015 (NC)
Legal business name
COVENANT CARE
Practice address
515 Nottley River Rd
Murphy, NC 28906-7758
Phone
(828) 557-6884
NPI assigned
Feb 3, 2010
Organization subpart
No

Authorized official

Name
Mrs. Gail H Payne
Title
Administrator
Phone
(828) 557-6884

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Covenant Care (2 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

515 Nottley River Rd
Murphy, NC 28906-7758

Mailing address

756 S Carter Cove Rd
Hayesville, NC 28904-4557
Phone (828) 557-6884

Other identifiers

IdentifierTypeStateIssuer
7805192MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 3, 2010.

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1891027793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 S CARTER COVE RD",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289044557",
            "telephone_number": "828-557-6884"
        },
        {
            "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": "828-557-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "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": "828-557-6884",
        "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

All providers in Murphy, NC · Health Service Clinic/Center in North Carolina

Sources for this page

Verify at the official NPI Registry.