COVINGTON HEALTHCARE LLC NPI 1881095560

NPI Information

NPI: 1881095560
Provider Name: COVINGTON HEALTHCARE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 01D2082372

Address:
1608-A GILMER AVE
TALLASSEE, AL
ZIP 36078
Phone: (334) 782-5028
Get Directions

COVINGTON HEALTHCARE LLC is a family nurse practitioner in Tallassee, AL. COVINGTON HEALTHCARE LLC NPI is 1881095560. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1608-A GILMER AVE
TALLASSEE, AL
ZIP 36078-314
Phone: (334) 782-5028
Fax: (334) 782-5028

The provider's authorized official is Elizabeth Gwinn .
The authorized official title is Business Consultant and has the following contact phone number (334) 303-5892.

The CLIA number assigned to this NPI record is 01D2082372 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2014 and was last updated on 11/19/2023.

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
1	363LF0000X	Nurse Practitioner	Family	1-049268	ALABAMA	Yes

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
1	1-049268	OTHER	ALABAMA	CRNP

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

NPI Synchronization or Removal

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