Covenant Medical Center, Inc.
Organization Active NPI Urgent Care Clinic/Center · Saginaw, MI
NPI 1992993695 · NPPES record last updated Mar 15, 2019
Key facts
- NPI
- 1992993695
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- COVENANT MEDICAL CENTER, INC.
- Practice address
- 5570 State St
Saginaw, MI 48603-3583 - Phone
- (989) 583-0100
- Fax
- (989) 583-0108
- NPI assigned
- Oct 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Margaret Maine
- Title
- Director
- Phone
- (989) 583-6100
Other NPIs on the same Medicare enrollment 7
Corporate family (same tax ID) 10
Practitioners 18
-
Christopher Ader, MSN
-
Sarah Nicole Bobick, PA-C
-
Rachel Jane Butka, PA-C
-
Rebecca Ellen Calangelo, PA-C
-
Ali H Hamade, M.D
-
Kimberly Sue Johnson, M.D.
-
Anushiya Kandiah, MD
-
Sean Kelly, PA-C
-
Peter C. Morden, M.D.
-
Babu L Nahata, MD
-
Anant C Patel, M.D.
-
Jeremy Petzold, PA
-
Kavita Rajkotia, M.D.
-
Angel Sue Thompson, ACNP-BC
-
Michael William Warren, M.D.
-
Sandra Kay Wilbanks, FNP
-
Sonali Mehandru, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031209000107 | MI | Part B Supplier - Clinic/Group Practice | 2769387778 |
Receives reassigned benefits from 771 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Covenant Medical Center Inc
Locations
7362 Midland Rd
Freeland, MI 48623
Phone (989) 692-7000
2970 Pierce Rd
Saginaw, MI 48604
Phone (989) 583-0280
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | |||
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
5570 State St
Saginaw, MI 48603-3583
Mailing address
1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-6100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1C0G36098 | Other | MI | HEALTHPLUS |
Other providers in Saginaw, MI
- Covenant Medical Center, Inc.
- Covenant Medical Center, Inc.
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- Covenant Medical Center, Inc.
- Covenant Medical Center, Inc.
- Covenant Medical Group
- Covenant Medical Group
- Covenant Medical Group
- Covenant Medical Group
- Covenant Medical Group
All providers in Saginaw, MI · Urgent Care Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.