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COVENANT MEDICAL CENTER INC NPI 1134411416


NPI Information

NPI: 1134411416
Provider Name: COVENANT MEDICAL CENTER INC

Doing Business As: MERCYONE WATERLOO HOME MEDICAL EQUIPMENT

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
441 E SAN MARNAN DR
WATERLOO, IA
ZIP 50702
Phone: (319) 272-7600
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COVENANT MEDICAL CENTER INC is a durable medical equipment medical supplies in Waterloo, IA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. COVENANT MEDICAL CENTER INC NPI is 1134411416. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercyone Waterloo Home Medical Equipment.

The provider's business location address is:

441 E SAN MARNAN DR
WATERLOO, IA
ZIP 50702-900
Phone: (319) 272-7600
Fax: (319) 272-7597

The provider's authorized official is Timothy Huber .
The authorized official title is Controller and has the following contact phone number (319) 272-7600.

The enumeration date for this NPI number is 5/5/2011 and was last updated on 10/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
2335E00000XProsthetic/Orthotic SupplierNo
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
4332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11-07-039593 2OTHERIOWAHOUSEHOLD HAXARDOUS MATERIAL RETAILER
26217OTHERIOWAWHOLE DRUG LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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