COVENANT MEDICAL CENTER INC (NPI# 1437190527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437190527 |
| Entity Type | Organization |
| Organization Name | COVENANT MEDICAL CENTER INC |
| Other Organization Name | MERCYONE WATERLOO HOME HEALTH CARE |
| Practice Address |
2101 Kimball Ave Suite 140 Waterloo IA 50702-5063 |
| Mailing Address |
3421 W 9th St Waterloo IA 50702-5401 |
| Practice Telephone | 3192725050 |
| Practice Fax Number | 3192725093 |
| Mailing Telephone | 3192727600 |
| Mailing Fax Number | 3192727597 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | TIMOTHY HUBER (CONTROLLER) |
| Authorized Official Telephone | 3192727600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0671867 | 05 |
| Other Name | Type Code |
|---|---|
| MercyOne Waterloo Home Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932140969 | Covenant Medical Center Inc | Rehabilitation Unit | 3421 West Ninth Street, Waterloo, IA 50702-5401 | 2006-06-09 |
| 1922045632 | Covenant Medical Center Inc | Pharmacy | 1094 220th St, Jesup, IA 50648-9400 | 2006-06-01 |
| 1134411416 | Covenant Medical Center Inc | Durable Medical Equipment & Medical Supplies | 441 E San Marnan Dr, Waterloo, IA 50702-5900 | 2011-05-05 |
| 1205040557 | Covenant Medical Center Inc | Obstetrics & Gynecology | 3421 W 9th St, Waterloo, IA 50702-5401 | 2007-05-09 |
| 1588780985 | Covenant Medical Center Inc | Ambulance | 3421 W 9th St, Waterloo, IA 50702-5401 | 2007-03-21 |
| 1114054723 | Covenant Medical Center Inc | Home Health | 3421 W 9th St, Waterloo, IA 50702-5401 | 2007-02-28 |
| 1730290750 | Covenant Medical Center Inc | Pharmacy | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2006-08-31 |
| 1548288160 | Covenant Medical Center Inc | Family Medicine | 3421 W 9th St, Waterloo, IA 50702-5401 | 2006-07-18 |
| 1700827896 | Covenant Medical Center Inc | Ambulance | 3421 W 9th St, Waterloo, IA 50702-5401 | 2006-06-09 |
| 1477594661 | Covenant Medical Center Inc | Clinic/Center | 751 Main St, Arlington, IA 50606-9754 | 2006-06-09 |
| Street Address |
2101 KIMBALL AVE SUITE 140 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396195905 | Thomas Veiseth | Nurse Practitioner | 2101 Kimball Ave, Waterloo, IA 50702-5063 | 2016-06-14 |
| 1528395647 | Kenneth Stecher | Counselor | 2101 Kimball Ave, Waterloo, IA 50702-5063 | 2009-11-10 |
| 1013243914 | Kelley Dickey Cuddy | Counselor | 2101 Kimball Ave, Waterloo, IA 50702-5063 | 2009-10-27 |
| 1285846030 | Hawkeye Valley Area Agency On Aging | Case Management | 2101 Kimball Ave, Suite 320, Waterloo, IA 50702-5063 | 2007-05-04 |
| 1730304619 | Cedar Valley Hospice, Inc. | Hospice Care, Community Based | 2101 Kimball Ave, Ste 401, Waterloo, IA 50702-5063 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086302 | Francis E Wehrle | Home Health | 1314 Jersey Ln, Waterloo, IA 50701-9275 | 2020-09-01 |
| 1154623460 | Unitypoint At Home | Home Health | 3731 University Ave, Waterloo, IA 50701-5623 | 2010-11-19 |
| 1104912203 | Allen Memorial Hospital Corporation | Home Health | 1117 Maxhelen Blvd, Waterloo, IA 50701-9346 | 2006-10-05 |
| 1912901703 | Waterloo Visiting Nursing Association | Home Health | 2530 University Ave, Ste 3, Waterloo, IA 50701-3304 | 2005-06-09 |
| 1265058317 | Vgm Group, Inc. | Home Health | 1111 W San Marnan Dr, Waterloo, IA 50701-8927 | 2020-06-24 |
| 1821457235 | Open Arms Home Health Care - Waterloo, LLC | Home Health | 421 Oak Ave, Waterloo, IA 50703-3401 | 2016-02-12 |
| 1407224223 | Waterloo Visiting Nursing Association | Home Health | 2530 University Ave, Suite 3, Waterloo, IA 50701-3304 | 2015-09-10 |
| 1780988980 | Unitypoint At Home | Home Health | 1117 Maxhelen Blvd, Waterloo, IA 50701-9346 | 2011-01-03 |
| 1114054723 | Covenant Medical Center Inc | Home Health | 3421 W 9th St, Waterloo, IA 50702-5401 | 2007-02-28 |
| 1922133826 | Mercy Hospital of Franciscan Sisters Inc | Home Health | 3421 W 9th St, Waterloo, IA 50702-5401 | 2007-02-22 |
| Find all providers in WATERLOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.