TABOR KIDS PEDIATRIC MINI CLINIC
NPI 1669177911
Pediatrics in Philadelphia, PA

Q: What is Covenant House Inc's NPI number?

The NPI number for Covenant House Inc is 1669177911. It was assigned to this organization in the NPPES registry on April 4, 2023. The provider is doing business as Tabor Kids Pediatric Mini Clinic.

Q: What is Covenant House Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 04, 2023

57 E ARMAT ST, PHILADELPHIA, PA 19144(215) 844-1020(215) 844-2702 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tabor Kids Pediatric Mini Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TABOR KIDS PEDIATRIC MINI CLINIC (NPI 1669177911) is a healthcare organization registered as a pediatrics in Philadelphia, Pennsylvania and active in the NPI registry since April 2023. The organization lists Susan Denise Stukes, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1669177911

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCOVENANT HOUSE INC

Location Address57 E ARMAT STPhiladelphia, PA 19144-2201

Mailing Address251 E Bringhurst StPhiladelphia, PA 19144-1719 · (215) 844-1020 · Fax (215) 844-2702

Phone(215) 844-1020

Fax(215) 844-2702

Organization SubpartYes

Authorized OfficialSusan Denise StukesChief Executive Officer · (215) 844-1020

Enumeration DateApril 4, 2023

Last NPPES UpdateSeptember 20, 2023

NPPES CertifiedSeptember 20, 2023

✔ NPI 1669177911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

57 E ARMAT ST, Philadelphia, PA 19144

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Other Names 1

Doing Business AsTabor Kids Pediatric Mini Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TABOR CHILDREN'S SERVICES

Community/Behavioral Health