| Covenant Care Family Medicine Inc | |
|
10595 N Tatum Blvd Ste E144 Paradise Valley AZ 85253-1072 | |
| (480) 907-7978 | |
| (480) 588-7340 |
| Full Name | Covenant Care Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 10595 N Tatum Blvd Ste E144, Paradise Valley, Arizona |
| Authorized Official Name and Position | Steven T. Hoshiwara (PHYSICIAN) |
| Authorized Official Contact | 4809077978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Care Family Medicine Inc 10595 N Tatum Blvd Ste E144 Paradise Valley AZ 85253-1072 Ph: (480) 907-7978 | Covenant Care Family Medicine Inc 10595 N Tatum Blvd Ste E144 Paradise Valley AZ 85253-1072 Ph: (480) 907-7978 |
| NPI Number | 1861636573 |
|---|---|
| Provider Enumeration Date | 04/24/2009 |
| Last Update Date | 11/28/2018 |
| Medicare PECOS PAC ID | 5395890461 |
|---|---|
| Medicare Enrollment ID | O20090826000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861636573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven T Hoshiwara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093760423 PECOS PAC ID: 7517859911 Enrollment ID: I20040901000719 |
| Provider Name | Paul R Coulombe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962441139 PECOS PAC ID: 5698667095 Enrollment ID: I20101227000464 |
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