Organization
COVENANT FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI A IRWIN (OFFICE MANAGER)
(724) 981-0825
Entity
Organization
Contact information
Practice address
3110 HIGHLAND RD, SUITE 203, HERMITAGE, PA 16148-4505
(724) 981-0825
(724) 981-4074
Mailing address
3110 HIGHLAND RD, SUITE 203, HERMITAGE, PA 16148-4505
(724) 981-0825
(724) 981-4074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265526
HEALTH AMERICA/HEALTH ASS
KY
01
—
DB2902
RAIL ROAD/ MEDICARE
PA
Enumeration date
03/02/2006
Last updated
08/22/2020
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