COVENANT WOODWARD AVENUE
NPI 1073834818
Clinic/Center - Federally Qualified Health Center (FQHC) in Royal Oak, MI
NPI Status: Active since June 16, 2010
Contact Information
27776 WOODWARD AVE
ROYAL OAK, MI
ZIP 48067
Phone: (248) 556-4900
Fax: (248) 556-4950
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 23D1071126
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 07-18-2027
About COVENANT WOODWARD AVENUE
This page provides the complete NPI Profile along with additional information for Covenant Woodward Avenue, a primary care provider established in Royal Oak, Michigan operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1073834818 assigned on June 2010. The practitioner's primary taxonomy code is 261QF0400X with license number 4704195855 (MI). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Covenant Woodward Avenue. The authorized official of this NPI record is Mrs. Joslyn Pettway (Chief Executive Officer)
- NPI
- 1073834818
- Provider Legal Name
- COVENANT COMMUNITY CARE, INC.
- Other Organization Name
- COVENANT WOODWARD AVENUE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 27776 WOODWARD AVE ROYAL OAK, MI 48067
- Location Phone
- (248) 556-4900
- Location Fax
- (248) 556-4950
- Mailing Address
- 559 W GRAND BLVD DETROIT, MI 48216
- Mailing Phone
- (313) 554-0485
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-16-2010
- Last Update Date
- 05-18-2022
- Code Navigator
A primary care provider (PCP) like Covenant Woodward Avenue sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License No.
- 4704195855
- License State
- MI
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D1071126
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- July 19, 2025
- Certificate Expiration Date
- July 18, 2027
- Laboratory Director
- SCOTT STRYD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Covenant Woodward Avenue to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073834818, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
ROYAL OAK, MI 48067
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073834818, enumerated as an "organization" on June 16, 2010.
The provider is located at 27776 WOODWARD AVE ROYAL OAK, MI 48067 and the phone number is (248) 556-4900.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
