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
National Provider Directory
- Tax ID family
- Covenant Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7805192 | Medicaid | NC |
NPI Registry JSON
{
"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
- Afton Dawn Conner
- Peter Alan Cook
- Kevin Cormier
- Wendy Yvonne Corso
- Covenant Care
- Covenant Care FCH
- Hannah Craig
- William Bradley Creel
- Ashley Nichole Crowder
- D Duncan Sumpter PC, Dba Appalachian Counseling
All providers in Murphy, NC · Health Service Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.