Dove Healthcare - West

LBN: Covenant Healthcare, Llc
Dove Healthcare - West is an health care organization with primary practice located at 1405 Truax Blvd , Eau Claire WI 54703-1474. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Covenant Healthcare, Llc can be contacted via phone (175) 552-1030, or through Deignan, James P. via phone (715) 552-1030.

Contact Information

Primary practice address
1405 Truax Blvd Eau Claire WI 54703-1474
Phone: (175) 552-1030
Fax: (715) 552-1033
Website:
Map and Directions
Authorized official contact:
Name: Deignan, James P. NHA, CPA
Phone: (715) 552-1030

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3195 Wisconsin

Profile Details

NPI number 1215936430
LBN Legal business name Covenant Healthcare, Llc
DBA Doing business as Dove Healthcare - West
Authorized official Deignan, James P. NHA, CPA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Nov 18th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215936430 NPPES
West Virginia MEDICAID 3195
West Virginia MEDICAID 20178200
West Virginia MEDICAID 41480100

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