Organization
COVENANT CARE OF O'FALLON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY POTTS (PRESIDENT)
(618) 632-3511
Entity
Organization
Contact information
Practice address
700 WEBER RD, O FALLON, IL 62269-2248
(618) 632-3511
(618) 632-3053
Mailing address
700 WEBER RD, O FALLON, IL 62269-2248
(618) 632-3511
(618) 632-3053
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1733880
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1733880
—
IL
Enumeration date
08/21/2006
Last updated
02/28/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us