COVENANT MEDICAL CENTER INC (NPI# 1730290750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730290750 |
| Entity Type | Organization |
| Organization Name | COVENANT MEDICAL CENTER INC |
| Other Organization Name | COVENANT HEALTHCARE OUTPATIENT PHARMACY |
| Practice Address |
700 Cooper Ave Saginaw MI 48602-5383 |
| Practice Telephone | 9895836484 |
| Practice Fax Number | 9895836351 |
| Mailing Telephone | 9895836484 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-12-09 |
| Authorized Official Name | TERRENCE LEE WERNETTE (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 9895834075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301005282 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4104630 | 05 |
| Other Name | Type Code |
|---|---|
| Covenant HealthCare Outpatient Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437190527 | Covenant Medical Center Inc | Home Health | 2101 Kimball Ave, Suite 140, Waterloo, IA 50702-5063 | 2006-06-09 |
| 1932140969 | Covenant Medical Center Inc | Rehabilitation Unit | 3421 West Ninth Street, Waterloo, IA 50702-5401 | 2006-06-09 |
| 1922045632 | Covenant Medical Center Inc | Pharmacy | 1094 220th St, Jesup, IA 50648-9400 | 2006-06-01 |
| 1134411416 | Covenant Medical Center Inc | Durable Medical Equipment & Medical Supplies | 441 E San Marnan Dr, Waterloo, IA 50702-5900 | 2011-05-05 |
| 1205040557 | Covenant Medical Center Inc | Obstetrics & Gynecology | 3421 W 9th St, Waterloo, IA 50702-5401 | 2007-05-09 |
| 1588780985 | Covenant Medical Center Inc | Ambulance | 3421 W 9th St, Waterloo, IA 50702-5401 | 2007-03-21 |
| 1114054723 | Covenant Medical Center Inc | Home Health | 3421 W 9th St, Waterloo, IA 50702-5401 | 2007-02-28 |
| 1548288160 | Covenant Medical Center Inc | Family Medicine | 3421 W 9th St, Waterloo, IA 50702-5401 | 2006-07-18 |
| 1700827896 | Covenant Medical Center Inc | Ambulance | 3421 W 9th St, Waterloo, IA 50702-5401 | 2006-06-09 |
| 1477594661 | Covenant Medical Center Inc | Clinic/Center | 751 Main St, Arlington, IA 50606-9754 | 2006-06-09 |
| Street Address |
700 COOPER AVE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-5383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202254 | Marc Alan Hoeksema | Surgery | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2005-06-01 |
| 1730790924 | Melissa Johnson | Social Worker | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-08-12 |
| 1174133292 | Thomas Fagan | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-08-04 |
| 1316557721 | Brian Michael Shear | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-08-01 |
| 1902414865 | Rocky Mountain Holdings, LLC | Ambulance | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-07-16 |
| 1194343525 | Sally Tarek Nagia | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-07-13 |
| 1306463252 | Dillon Jarbo | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-06-26 |
| 1992322820 | Ibrahim Brian Baida | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-06-26 |
| 1427675461 | Ali Ibrahim Elsaghir | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-06-25 |
| 1437776465 | Neily Alonso | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
| Find all providers in zip 48602 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144709767 | Westside Drugs LLC | Pharmacy | 100 S Michigan Ave Ste 1, Saginaw, MI 48602-2054 | 2018-08-14 |
| 1164871448 | Arogya Pharmacy Inc | Pharmacy | 5470 Gratiot Rd, Saginaw, MI 48638-6038 | 2016-06-08 |
| 1760885297 | Kali Nagabalaji | Pharmacy | 200 W J Boaz Rd, Ste 100, Saginaw, TX 76179 | 2014-09-29 |
| 1801022702 | Michigan Specialty Pharmacy LLC | Pharmacy | 301 E Genesee Ave Suite #100, Saginaw, MI 48607 | 2009-06-05 |
| 1891878211 | Faler Pharmacy Inc | Pharmacy | 1806 Court St, Saginaw, MI 48602 | 2006-10-21 |
| 1518061324 | Cvs Pharmacy Inc | Pharmacy | 1301 N Saginaw Blvd, Saginaw, TX 76179-5095 | 2006-09-12 |
| 1760497820 | Walgreen Co | Pharmacy | 833 N Saginaw Blvd, Saginaw, TX 76179-1234 | 2006-07-29 |
| 1063066041 | Apogee Pharmacy | Pharmacy | 608 E Bailey Boswell Rd Ste 140, Saginaw, TX 76131-3570 | 2019-07-29 |
| 1376010223 | Great Lakes Bay Health Centers | Pharmacy | 3023 Davenport Ave, Saginaw, MI 48602-3652 | 2018-10-30 |
| 1255882981 | Superior Pharmacy LLC | Pharmacy | 333 S Michigan Ave, Saginaw, MI 48602-2024 | 2016-10-18 |
| Find all providers in SAGINAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.