Organization
COVENANT ACCESS & MOBILITY SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER FANCETT (PRESIDENT)
(513) 594-3384
Entity
Organization
Contact information
Practice address
756 HILLIARD ST, SPRINGFIELD, OH 45506-4329
(513) 594-3384
(937) 717-4619
Mailing address
756 HILLIARD ST, SPRINGFIELD, OH 45506-4329
(513) 594-3384
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1201041
—
OH
05
—
2714272
—
OH
Enumeration date
02/05/2012
Last updated
02/05/2012
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