COVENANT MEDICAL CENTER INC (NPI# 1588780985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588780985 |
| Entity Type | Organization |
| Organization Name | COVENANT MEDICAL CENTER INC |
| Other Organization Name | MERCYONE WATERLOO MEDICAL CENTER |
| Practice Address |
3421 W 9th St Waterloo IA 50702-5401 |
| Practice Telephone | 3192727600 |
| Practice Fax Number | 3192727597 |
| Mailing Telephone | 3192727600 |
| Mailing Fax Number | 3192727597 |
| Enumeration Date | 2007-03-21 |
| 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 | 341600000X | Ambulance | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0044297 | 05 |
| Other Name | Type Code |
|---|---|
| MercyOne Waterloo Medical Center | 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 |
| 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 |
3421 W 9TH ST |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287614 | Nicholas J Goetsch | Family Medicine | 3421 W 9th St, Waterloo, IA 50702-5401 | 2005-07-06 |
| 1770101263 | Aaron Russell Haubrich | Podiatrist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2020-07-10 |
| 1629694682 | Nadia Nikoueiha | Podiatrist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2020-06-24 |
| 1386278117 | Kirre Hannan | Pharmacist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2020-03-02 |
| 1265094239 | Samuel Bernard | Podiatrist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2019-07-01 |
| 1306408125 | Trent Boyer | Podiatrist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2019-07-01 |
| 1467017921 | John Jacob Zion Kelly | Nurse Practitioner | 3421 W 9th St, Waterloo, IA 50702-5401 | 2019-05-09 |
| 1003381963 | Tyler James Goebel | Pharmacist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2018-10-08 |
| 1164907465 | Samantha Wheeler | Pharmacist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2018-10-02 |
| 1063992857 | Kevin J Dirksen | Nurse Practitioner | 3421 W 9th St, Waterloo, IA 50702-5401 | 2018-08-21 |
| 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 | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356377964 | North Seneca Ambulance Inc | Ambulance | 1645 North Rd, Waterloo, NY 13165-9447 | 2006-06-24 |
| 1386634517 | County of Monroe | Ambulance | 901 Illinois Ave, Suite C, Waterloo, IL 62298-1142 | 2005-10-27 |
| 1700827896 | Covenant Medical Center Inc | Ambulance | 3421 W 9th St, Waterloo, IA 50702-5401 | 2006-06-09 |
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|---|---|---|---|---|
| 1861932774 | Woodbury County Emergency Services | Ambulance | 121 Deer Run Trl, Climbing Hill, IA 51015-8124 | 2017-02-27 |
| 1588115893 | Midwest Medical Transport Company, LLC-sioux City, Ia. | Ambulance | 1015 Court St, Sioux City, IA 51105-1708 | 2016-10-21 |
| 1932650272 | Midwest Medical Transport Company, LLC-albia, Ia | Ambulance | 521 I Avenue West, Albia, IA 52531 | 2016-10-21 |
| 1538612320 | Midwest Medical Transport Company LLC | Ambulance | 118 N Runger Avenue, Sheldon, IA 51201-1558 | 2016-07-27 |
| 1003266339 | Midwest Medical Transport Company LLC | Ambulance | 1812 4th St Sw, Mason City, IA 50401-1609 | 2016-06-17 |
| 1740645332 | Midwest Medical Transport Company LLC | Ambulance | 2110 23rd Ave Ste A, Council Bluffs, IA 51501-7054 | 2015-12-23 |
| 1982069134 | Midwest Medical Transport Company LLC | Ambulance | 705 E Division St, Audubon, IA 50025-1316 | 2015-12-15 |
| 1720473812 | Care Ambulance, LLC | Ambulance | 1801 S. Riverside, Iowa City, IA 52246-5704 | 2015-04-06 |
| 1437543147 | Coin Fire and Rescue | Ambulance | 211 1st Street, Coin, IA 51636 | 2015-03-20 |
| 1043638497 | Delaware Township Fire Department | Ambulance | 3992 E Broadway Ave, Des Moines, IA 50317-8917 | 2014-04-02 |
| 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.