# COVENANT ADVANCED PRIMARY CARE SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Covenant Famiy & Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578951455
- **Authorized official:** DR. SCOTT W PERRENOD DNP (CEO)
- **Authorized official phone:** (888) 966-2398

## Contact information

- **Practice address:** 152 CATHERINE LN, SUITE F, GRASS VALLEY, CA 95945-5756
- **Practice address phone:** (888) 966-2398
- **Practice address fax:** (888) 966-2398
- **Mailing address:** 200 S VIRGINIA ST STE 800, RENO, NV 89501-2409
- **Mailing address phone:** (888) 966-2398
- **Mailing address fax:** (888) 966-2398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/31/2014
- **Last updated:** 01/24/2019