COVENANT MEDICAL CENTER INC (NPI# 1497796494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497796494 |
| Entity Type | Organization |
| Organization Name | COVENANT MEDICAL CENTER INC |
| Other Organization Name | MERCYONE WATERLOO PHARMACY |
| Practice Address |
2710 Saint Francis Dr Ste 101 Waterloo IA 50702-5619 |
| Practice Telephone | 3192725700 |
| Practice Fax Number | 3192720188 |
| Mailing Telephone | 3192725700 |
| Mailing Fax Number | 3192720188 |
| 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
284 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0086330 | 05 | |
| PK | 2130096 | 01 |
| Other Name | Type Code |
|---|---|
| Covenant Family Pharmacy | Doing Business As Name - Organization |
| MercyOne Waterloo Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437190527 | Covenant Medical Center Inc | Home Health | 2101 Kimball Ave, Suite 140, Waterloo, IA 50702-5063 | 2006-06-09 |
| 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 |
| Street Address |
2710 SAINT FRANCIS DR STE 101 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166390 | Lisa M Coleman | Dietitian, Registered | 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702-5619 | 2005-09-28 |
| 1003303165 | Summer Morgan Lenth | Nurse Practitioner | 2710 Saint Francis Dr, Waterloo, IA 50702-5619 | 2018-04-15 |
| 1033621586 | Hilary Pates | Counselor | 2710 Saint Francis Dr, Waterloo, IA 50702-5619 | 2017-10-24 |
| 1447676812 | Katherine Renner | Pharmacist | 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702-5619 | 2014-03-10 |
| 1649611567 | Toni Lynn Luck | Nurse Practitioner | 2710 Saint Francis Dr, Suite 319, Waterloo, IA 50702-5619 | 2013-07-08 |
| 1275809584 | Marietta Elizabeth Walsh | Neurological Surgery | 2710 Saint Francis Dr, Suite 110, Waterloo, IA 50702-5619 | 2012-03-30 |
| 1902174584 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 2710 Saint Francis Dr, #411, Waterloo, IA 50702-5619 | 2011-12-09 |
| 1851671192 | Melissa Ann Groeneveld | Nurse Practitioner | 2710 Saint Francis Dr, Suite 419, Waterloo, IA 50702-5619 | 2011-08-18 |
| 1336428697 | Victor Adam Abrich | Internal Medicine | 2710 Saint Francis Dr, Ste 320, Waterloo, IA 50702-5620 | 2011-08-04 |
| 1821301649 | Kristin Marie Davis | Nurse Practitioner | 2710 Saint Francis Dr, Ste 111, Waterloo, IA 50702-5619 | 2010-07-21 |
| Find all providers in the same location | ||||
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1528349347 | Hy Vee Inc | Pharmacy | 2834 Ansborough Ave, Waterloo, IA 50701-4418 | 2011-09-07 |
| 1265529408 | Girsch Pharmacies, Inc. | Pharmacy | 2027 Falls Ave, Waterloo, IA 50701-2359 | 2006-10-09 |
| 1013923606 | Walgreen Co | Pharmacy | 111 W Ridgeway Ave, Waterloo, IA 50701-4233 | 2006-08-01 |
| 1003838749 | Iowa Cvs Pharmacy LLC | Pharmacy | 1501 E San Marnan Dr, Waterloo, IA 50702-4300 | 2006-07-24 |
| 1124069034 | Iowa Cvs Pharmacy LLC | Pharmacy | 207 Franklin St, Waterloo, IA 50703-3515 | 2006-06-10 |
| 1871542977 | Greenwood Drug, Inc. | Pharmacy | 224 Byron Ave, Waterloo, IA 50702-3704 | 2006-05-08 |
| 1134127442 | Allen Memorial Hospital | Pharmacy | 1731 W Ridgeway Ave, Waterloo, IA 50701-4595 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013546308 | Hy Vee Inc | Pharmacy | 911 S K Ave, Vinton, IA 52349-1073 | 2020-04-07 |
| 1164050944 | Corridor Pharmacy | Pharmacy | 650 W Cherry St Ste 7, North Liberty, IA 52317-9025 | 2020-03-29 |
| 1932740024 | St Luke's Jones Regional Medical Center | Pharmacy | 1795 Highway 64 E Ste 2, Anamosa, IA 52205-2112 | 2019-10-01 |
| 1316407018 | Harlan Pharmacy, LLC | Pharmacy | 1024 5th St, Harlan, IA 51537-1427 | 2019-03-20 |
| 1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
| 1265999387 | Bancroft Apothecary Lp | Pharmacy | 106 W Ramsey St, Bancroft, IA 50517-8078 | 2019-02-25 |
| 1023588159 | Mark Oleson | Pharmacy | 1100 Broad Street, Adair, IA 50002 | 2018-12-02 |
| 1598235723 | Cjk Pharmacy, LLC | Pharmacy | 3100 E Ave Nw Ste 102, Cedar Rapids, IA 52405-2962 | 2018-11-30 |
| 1144701582 | Madsen Inc | Pharmacy | 307 2nd. St., Gladbrook, IA 50635-5063 | 2018-08-23 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
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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.