| Covenant Physician Services Ltd | |
|
214 Elm St London OH 43140-2131 | |
| (740) 852-4100 | |
| (740) 852-4170 |
| Full Name | Covenant Physician Services Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 214 Elm St, London, Ohio |
| Authorized Official Name and Position | Debbie L Toppins (OFFICE MANAGER) |
| Authorized Official Contact | 7408524100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Physician Services Ltd 214 Elm St London OH 43140-2131 Ph: () - | Covenant Physician Services Ltd 214 Elm St London OH 43140-2131 Ph: (740) 852-4100 |
| NPI Number | 1528257607 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528257607 | NPI | - | NPPES |
| 2324112 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35078214 (Ohio) | Primary |
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