| Covenant Family Medicine | |
|
2620 Westside Dr Nw Cleveland TN 37312-3605 | |
| (423) 339-1760 | |
| (423) 559-1483 |
| Full Name | Covenant Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2620 Westside Dr Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | Lawrence Carl Swan (OWNER) |
| Authorized Official Contact | 4233391760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Family Medicine 2620 Westside Dr Nw Cleveland TN 37312-3605 Ph: (423) 339-1760 | Covenant Family Medicine 2620 Westside Dr Nw Cleveland TN 37312-3605 Ph: (423) 339-1760 |
| NPI Number | 1871674515 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 12/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871674515 | NPI | - | NPPES |
| 3032152 | Other | TN | MEDICARE IND- SWAN |
| G62659 | Other | TN | UPIN - SIMS |
| 0078692 | Other | TN | BCBST GROUP |
| 245331943 | Other | TN | TRICARE - SIMS INDIVIDUAL |
| 3032152 | Other | TN | MEDICAID - SWAN |
| 4052544 | Other | TN | BCBST IND - SIMS |
| 44D0309375 | Other | TN | CLIA - GROUP |
| A99578 | Other | TN | UPIN - SWAN |
| 0078692 | Other | TN | BCBST IND - SWAN |
| 3719860 | Other | TN | MEDICARE GROUP |
| 3880829 | Other | TN | MEDICAID - SIMS |
| 1584772 | Other | TN | GHI - SIMS |
| 272525633 | Other | TN | TRICARE - SWAN INDIVIDUAL |
| 3880829 | Other | TN | MEDICARE IND - SIMS |
| 1584771 | Other | TN | GHI - SWAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Cleveland Medical Associates, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1060 William Way Nw, Cleveland, TN 37312 Phone: 423-478-1050 Fax: 423-478-1075 | |
Benchmark Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Dunhill Pl Nw Ste B, Cleveland, TN 37311 Phone: 423-559-0444 Fax: 423-559-0103 | |
Donald E Robinson Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1860 Executive Park Nw, Suite B, Cleveland, TN 37312 Phone: 423-476-7584 Fax: 423-476-7586 | |
Michael Moffatt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Clingan Ridge Dr. Nw, Cleveland, TN 37312 Phone: 423-339-3340 Fax: 423-339-9927 | |
Physician Onsite, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3570 Keith St Nw, Cleveland, TN 37312 Phone: 423-473-5026 | |
Skyridge Clinical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1060 Peerless Crossing, Ste 200, Cleveland, TN 37312 Phone: 423-479-4165 | |
Cleveland Family Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2020 Westland Dr Sw, Cleveland, TN 37311 Phone: 423-338-8995 Fax: 423-614-5270 |