COVENANT MEDICAL CENTER INC (NPI# 1922045632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922045632 |
| Entity Type | Organization |
| Organization Name | COVENANT MEDICAL CENTER INC |
| Other Organization Name | MERCYONE JESUP PHARMACY |
| Practice Address |
1094 220th St Jesup IA 50648-9400 |
| Mailing Address |
2710 Saint Francis Dr Suite 101 Waterloo IA 50702-5619 |
| Practice Telephone | 3198276889 |
| Practice Fax Number | 3198272324 |
| Mailing Telephone | 3192725277 |
| Mailing Fax Number | 3192720188 |
| Enumeration Date | 2006-06-01 |
| 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 |
432 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2130097 | 01 | |
| IA | 0126862 | 05 |
| Other Name | Type Code |
|---|---|
| Jesup Pharmacy | Doing Business As Name - Organization |
| MercyOne Jesup 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 |
| 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 |
1094 220TH ST |
| City | JESUP |
| State | IA |
| Zip Code | 50648-9400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841857869 | Dawn Marie Kleve | Nurse Practitioner | 1094 220th St, Jesup, IA 50648-9400 | 2019-05-24 |
| 1235348921 | Roger Cary | Pharmacist | 1094 220th St, Jesup, IA 50648-9400 | 2007-05-21 |
| 1275578320 | Stefani K Pitkin | Physician Assistant | 1094 220th St, Jesup, IA 50648-9400 | 2006-06-20 |
| 1437198991 | Mark A Feldkamp | Family Medicine | 1094 220th St, Jesup, IA 50648-9400 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386201333 | People's Memorial Hospital | Family Medicine | 211 South Street West, Jesup, IA 50648 | 2019-05-24 |
| 1548740269 | Brian Robert Jones | Dentist | 551 Young St, Jesup, IA 50648 | 2018-08-21 |
| 1396875852 | Dustin Lawrence Behn | Chiropractor | 410 Young St, Jesup, IA 50648 | 2007-03-06 |
| 1699840652 | Merritt Elmer Jones | Dentist | 551 Young Street, Jesup, IA 50648 | 2006-11-22 |
| 1568655249 | Family Solutions IIi, Inc. | Community/Behavioral Health | 1125 6th St, Jesup, IA 50648-1105 | 2007-08-24 |
| 1710171392 | Gail M Althaus | Counselor | 1125 6th St, Jesup, IA 50648-1105 | 2007-08-28 |
| 1306101027 | Jesup Community School District | Local Education Agency (LEA) | 531 Prospect St, Jesup, IA 50648-1157 | 2012-07-09 |
| 1619033990 | City of Jesup | Ambulance | 601 Young St, Jesup, IA 50648-1176 | 2006-12-29 |
| 1780836916 | D&d Behn LLC | Chiropractor | 410 Young St, Jesup, IA 50648-1195 | 2008-10-21 |
| 1104193481 | A Home Sleep Testing | Clinic/Center | 1081 280th St, 7, Jesup, IA 50648-9252 | 2011-11-30 |
| Find all providers in zip 50648 | ||||
| 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 |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1619070455 | Georgia Cvs Pharmacy LLC | Pharmacy | 348 W Pine St, Jesup, GA 31545-1429 | 2006-09-07 |
| 1114961943 | Town and Country Pharmacy | Pharmacy | 192 W Cherry St, Jesup, GA 31545-1309 | 2006-06-15 |
| 1528024940 | Jones Prescription Shop, Inc. | Pharmacy | 101 Peachtree St, Jesup, GA 31545-0211 | 2006-04-25 |
| 1285699371 | Dukes Linder Inc | Pharmacy | 192 North First St, Jesup, GA 31545 | 2006-04-20 |
| 1770107286 | Diversity Health Center Inc. | Pharmacy | 244 Peachtree St, Jesup, GA 31545-0212 | 2020-06-01 |
| 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 | ||||
Please comment or provide details below to improve the information on COVENANT MEDICAL CENTER INC.
| 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.