| Covenant Woodward Avenue | |
|
27776 Woodward Ave Royal Oak MI 48067-0930 | |
| (248) 556-4900 | |
| (248) 556-4950 |
| Full Name | Covenant Woodward Avenue |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 27776 Woodward Ave, Royal Oak, Michigan |
| Authorized Official Name and Position | Joslyn Pettway (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3135540485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Woodward Avenue 559 W Grand Blvd Detroit MI 48216-2200 Ph: (313) 554-0485 | Covenant Woodward Avenue 27776 Woodward Ave Royal Oak MI 48067-0930 Ph: (248) 556-4900 |
| NPI Number | 1073834818 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 05/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073834818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4704195855 (Michigan) | Primary |
Beaumont Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-585-8271 Fax: 248-585-8266 | |
Hospital Consultants, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-691-8646 | |
Beaumont Professional Services/geriatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-2454 | |
Epg Urgent Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26454 Woodward Ave, Suite 150, Royal Oak, MI 48067 Phone: 248-545-7210 Fax: 248-545-1023 | |
Jodi Mollica Lcsw Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 628 E Parent Ave Ste 506, Royal Oak, MI 48067 Phone: 248-321-8684 | |
Beaumont Professional Services/infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-2454 |