Organization
COVENANT HOUSE INC
Active
Parent organization
COVENANT HOUSE INC
Other names
Tabor Kids Pediatric Mini Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
COVENANT HOUSE INC
Authorized official
DR. SUSAN DENISE STUKES (CHIEF EXECUTIVE OFFICER)
(215) 844-1020
Entity
Organization
Contact information
Practice address
57 E ARMAT ST, PHILADELPHIA, PA 19144-2201
(215) 844-1020
(215) 844-2702
Mailing address
251 E BRINGHURST ST, PHILADELPHIA, PA 19144-1719
(215) 844-1020
(215) 844-2702
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
09/20/2023
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