# COVENANT HEALTHCARE SYSTEM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013515881
- **Authorized official:** FOLAKE ALOBA CRNP (DIRECTOR/OWNER)
- **Authorized official phone:** (301) 363-0707

## Contact information

- **Practice address:** 3415 HAMILTON ST STE 6, HYATTSVILLE, MD 20782-3953
- **Practice address phone:** (301) 363-0707
- **Practice address fax:** (240) 714-4733
- **Mailing address:** 3415 HAMILTON ST STE 6, HYATTSVILLE, MD 20782-3953
- **Mailing address phone:** (301) 363-0707
- **Mailing address fax:** (240) 714-4733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2020
- **Last updated:** 10/14/2020