COVENANT MEDICAL CENTER, INC. (NPI# 1912056391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912056391 |
| Entity Type | Organization |
| Organization Name | COVENANT MEDICAL CENTER, INC. |
| Practice Address |
2919 Wilder Rd Suite 240 Bay City MI 48706-9299 |
| Mailing Address |
1447 N Harrison St Saginaw MI 48602-4727 |
| Practice Telephone | 9896715738 |
| Practice Fax Number | 9896715747 |
| Mailing Telephone | 9895836100 |
| Mailing Fax Number | 9895832889 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2014-12-17 |
| Authorized Official Name | MARGARET MAINE (DIRECTOR) |
| Authorized Official Telephone | 9895836100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780838243 | Covenant Medical Center, Inc. | Homemaker | 3241 W 9th St, Waterloo, IA 50702-5401 | 2008-11-11 |
| 1316122120 | Covenant Medical Center, Inc. | Pediatrics | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2007-12-31 |
| 1992993695 | Covenant Medical Center, Inc. | Radiology | 5570 State St, Saginaw, MI 48603-3583 | 2007-10-09 |
| 1225151897 | Covenant Medical Center, Inc. | Nurse Anesthetist, Certified Registered | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2007-04-09 |
| 1366597544 | Covenant Medical Center, Inc. | Surgery | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2007-01-25 |
| 1831244466 | Covenant Medical Center, Inc. | Clinic/Center | 5570 State St, Saginaw, MI 48603-3583 | 2007-01-24 |
| 1750493862 | Covenant Medical Center, Inc. | Skilled Nursing Facility | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2006-08-31 |
| 1972590412 | Covenant Medical Center, Inc. | Emergency Medicine | 900 Cooper St, Saginaw, MI 48602 | 2005-09-30 |
| 1588656946 | Covenant Medical Center, Inc. | General Acute Care Hospital | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2005-08-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | COVENANT MEDICAL CENTER, INC. | 3421 W 9th St, Waterloo, IA 50704 |
| Street Address |
2919 WILDER RD SUITE 240 |
| City | BAY CITY |
| State | MI |
| Zip Code | 48706-9299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134101264 | Tim E Eckstein | Family Medicine | 2919 Wilder Rd, Suite 130, Bay City, MI 48706-9299 | 2005-11-15 |
| 1003424904 | Erin Smith | Physical Therapist | 2919 Wilder Rd, Bay City, MI 48706-9299 | 2020-07-16 |
| 1730728775 | Stephanie Pretzer | Behavioral Analyst | 2919 Wilder Rd, Bay City, MI 48706-9299 | 2019-12-21 |
| 1114402575 | Mallory Jean Vanhouten | Speech-Language Pathologist | 2919 Wilder Rd, Bay City, MI 48706-9299 | 2018-10-01 |
| 1588117857 | Alyssa Bickel | Speech-Language Pathologist | 2919 Wilder Rd, Suite 210, Bay City, MI 48706-9299 | 2016-08-03 |
| 1851725337 | Ashley Burgoyne | Speech-Language Pathologist | 2919 Wilder Rd, Suite 220, Bay City, MI 48706-9299 | 2013-09-03 |
| 1952749871 | Bieri Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 2919 Wilder Rd, Suite 130, Bay City, MI 48706-9299 | 2013-06-13 |
| 1639444391 | Kristi Lynn Hainstock | Psychologist | 2919 Wilder Rd, Suite 2, Bay City, MI 48706-9299 | 2012-03-14 |
| 1174755748 | Nicole Lynne Kret | Speech-Language Pathologist | 2919 Wilder Rd, Bay City, MI 48706-9299 | 2009-08-17 |
| 1598999872 | Christopher Jamil Allen | Psychiatry & Neurology | 2919 Wilder Rd, Suite 220, Bay City, MI 48706-9299 | 2009-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574357 | Kalie Keyes | Behavior Technician | 3710 Katalin Ct, Bay City, MI 48706 | 2020-10-06 |
| 1790251049 | Leann Marie Miller | Nurse Practitioner | Visiting Physicians Association, 1484 Straits Drive, Bay City, MI 48706 | 2018-10-15 |
| 1659883676 | Matthew Zamora | Internal Medicine | 4818 S Professional Dr, Bay City, MI 48706 | 2017-10-31 |
| 1376082230 | Deidre Dotson | Social Worker | 1217 S Euclid, Bay City, MI 48706 | 2017-02-13 |
| 1790100717 | Kochar Plc | Internal Medicine | 4817 E. Professional Drive, Bay City, MI 48706 | 2014-02-27 |
| 1992136477 | Janelle Gale Ballard | Music Therapist | 4106 Wilder Rd, Bay City, MI 48706 | 2013-12-09 |
| 1619319084 | Jessica T Jang | Veterinarian | 6015 West Side Saginaw Rd, Bay City, MI 48706 | 2013-07-25 |
| 1427493634 | Cynthia Marie Bordeau | Social Worker | 1217 S. Euclid, Bay City, MI 48706 | 2013-05-01 |
| 1902162746 | Delta Family Clinic South PC | Psychologist | 901 N. Euclid Ave., Bay City, MI 48706 | 2012-04-05 |
| 1669762985 | James Norbert Stachowski | Pharmacist | 3880 Wilder, Bay City, MI 48706 | 2011-04-08 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670177 | Marina Byer | Behavioral Analyst | 4456 Altadena Dr, Bay City, MI 48706-2514 | 2019-10-11 |
| 1720582679 | Autism Evolution | Behavioral Analyst | 6907 Westside Saginaw Rd Ste 4, Bay City, MI 48706-9348 | 2018-03-23 |
| 1437653771 | Sarah Jansen | Behavioral Analyst | 3865 Wilder Rd, Bay City, MI 48706-2136 | 2018-03-21 |
| 1235645847 | Encompass Therapy Center, LLC | Behavioral Analyst | 3865 Wilder Rd Ste 8, Bay City, MI 48706-2136 | 2017-12-19 |
| 1861914210 | Sarah S Fulcher | Behavioral Analyst | 2919 Wilder Rd Ste 240, Bay City, MI 48706-9602 | 2017-07-07 |
| 1275087488 | David A Salcedo | Behavioral Analyst | 105 E Fisher St, Bay City, MI 48706-4501 | 2016-08-05 |
| 1114241767 | Laura Ann Jordan | Behavioral Analyst | 4900 Nichols Rd Apt 1215, Bay City, TX 77414-8638 | 2010-03-24 |
| 1063051274 | Tanner Jones | Behavioral Analyst | 7110 Michigan Rd, Bay City, MI 48706-9310 | 2020-01-06 |
| 1730728775 | Stephanie Pretzer | Behavioral Analyst | 2919 Wilder Rd, Bay City, MI 48706-9299 | 2019-12-21 |
| 1205474277 | Jennifer Labo | Behavioral Analyst | 3865 Wilder Rd, Bay City, MI 48706-2136 | 2019-12-20 |
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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.