Covenant Family Care | |
2838 Jeff Rd Suite D Harvest AL 35749-8646 | |
(256) 425-8004 | |
Not Available |
Full Name | Covenant Family Care |
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Speciality | Clinic/Center |
Location | 2838 Jeff Rd, Harvest, Alabama |
Authorized Official Name and Position | Cynthia Benita Booker-graddick (PARTNER) |
Authorized Official Contact | 6154773364 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Covenant Family Care 2838 Jeff Rd Suite D Harvest AL 35749-8646 Ph: (256) 425-8004 | Covenant Family Care 2838 Jeff Rd Suite D Harvest AL 35749-8646 Ph: (256) 425-8004 |
NPI Number | 1932537065 |
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Provider Enumeration Date | 10/29/2013 |
Last Update Date | 10/29/2013 |
Medicare PECOS PAC ID | 2567695539 |
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Medicare Enrollment ID | O20140428000486 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932537065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 1025 (Alabama) | Primary |
Provider Name | Cynthia B Booker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215146238 PECOS PAC ID: 3476693912 Enrollment ID: I20091215000162 |
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