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COVENANT MEDICAL GROUP INC NPI 1093312415


NPI Information

NPI: 1093312415
Provider Name: COVENANT MEDICAL GROUP, INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
205 CORPORATE PL
ALCOA, TN
ZIP 37701
Phone: (865) 331-9050
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COVENANT MEDICAL GROUP, INC is a durable medical equipment medical supplies in Alcoa, TN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. COVENANT MEDICAL GROUP, INC NPI is 1093312415. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

205 CORPORATE PL
ALCOA, TN
ZIP 37701-940
Phone: (865) 331-9050
Fax: (865) 374-2008

The provider's authorized official is Julie Utterback .
The authorized official title is Vp Financial Services and has the following contact phone number (865) 374-5119.

The enumeration date for this NPI number is 10/8/2020 and was last updated on 11/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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