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Contact Information

COVENANT MEDCARE LLC
15324 RANKIN AVENUE
DUNLAP, TN37327
 Phone: 423-949-9200
 Fax: 423-949-9203
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for COVENANT MEDCARE LLC

NPI Number 1144428780
LBN Legal business name COVENANT MEDCARE LLC
Authorized official JONATHAN KERLEY - (OWNER PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2007
Last updated 09/10/2008 - About 18 years ago
Identifiers
TN License # DO0000001427
TN Other 3726561 MEDICARE PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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