Healthcare Provider Details

I. General information

NPI: 1790767523
Provider Name (Legal Business Name): COVENANT MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 10/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S HAMILTON ST
SAGINAW MI
48602-1511
US

IV. Provider business mailing address

500 S HAMILTON ST
SAGINAW MI
48602-1511
US

V. Phone/Fax

Practice location:
  • Phone: 989-799-6020
  • Fax: 989-799-6062
Mailing address:
  • Phone: 989-799-6020
  • Fax: 989-799-6062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. S. JILL SCHULTZ
Title or Position: DIRECTOR
Credential: BSN,MS
Phone: 989-799-6020