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COVENANT MEDICAL GROUP INC NPI 1730468182


NPI Information

NPI: 1730468182
Provider Name: COVENANT MEDICAL GROUP, INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
423 MEDICAL PARK DR
STE 100
LENOIR CITY, TN
ZIP 37772
Phone: (865) 271-6575
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COVENANT MEDICAL GROUP, INC is a durable medical equipment medical supplies in Lenoir City, 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 1730468182. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

423 MEDICAL PARK DR
STE 100
LENOIR CITY, TN
ZIP 37772-640
Phone: (865) 271-6575
Fax: (865) 986-7807

The provider's authorized official is Julie G 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 8/16/2011 and was last updated on 2/17/2016.


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
1174400000XSpecialistNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16516130002MEDICARE NSC
23734041MEDICARE PINTENNESSEE
33734041MEDICAIDTENNESSEE

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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