Organization
COVENANT MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET MAINE (DIRECTOR)
(989) 583-6100
Entity
Organization
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-6100
(989) 583-2889
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(898) 583-6100
(989) 583-2889
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700G310470
GROUP BCBS NUMBER
MI
Enumeration date
01/25/2007
Last updated
03/15/2019
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