| Muskegon Covenant Academy | |
|
125 Catherine Ave Muskegon MI 49442-3331 | |
| (231) 733-6703 | |
| Not Available |
| Full Name | Muskegon Covenant Academy |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 125 Catherine Ave, Muskegon, Michigan |
| Authorized Official Name and Position | Wayne Kohn (CMO) |
| Authorized Official Contact | 2317371335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Muskegon Covenant Academy 2700 Baker St Fl 3 Muskegon MI 49444-2157 Ph: (231) 737-1335 | Muskegon Covenant Academy 125 Catherine Ave Muskegon MI 49442-3331 Ph: (231) 733-6703 |
| NPI Number | 1063891968 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063891968 | NPI | - | NPPES |
| 1063891968 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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