Provider Demographics
NPI:1235338583
Name:MEDICAL COVERAGE SERVICES PC
Entity Type:Organization
Organization Name:MEDICAL COVERAGE SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:MOUSA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-444-1127
Mailing Address - Street 1:4250 N SAGINAW ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48505-5332
Mailing Address - Country:US
Mailing Address - Phone:810-877-6115
Mailing Address - Fax:810-877-6152
Practice Address - Street 1:4250 N SAGINAW ST
Practice Address - Street 2:SUITE A
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48505-5332
Practice Address - Country:US
Practice Address - Phone:810-785-1121
Practice Address - Fax:810-785-3850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4223480Medicaid
MI0P06630Medicare PIN
MI4223480Medicaid