Organization
COVENANT CARE FCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL H PAYNE (ADMINISTRATOR)
(828) 835-3605
Entity
Organization
Contact information
Practice address
515 NOTTLEY RIVER RD., MURPHY, NC 28906-7758
(828) 835-3605
Mailing address
515 NOTTLEY RIVER RD, MURPHY, NC 28906-7758
(828) 835-3605
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
FCL-020015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805192
—
NC
Enumeration date
10/20/2009
Last updated
10/20/2009
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