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Organization
COVENANT MEDICAL CENTER INC
Active
Organization
COVENANT MEDICAL CENTER INC
Active
Other names
MercyOne Medical Group Northeast Iowa
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HUBER (CONTROLLER)
(319) 272-7607
Entity
Organization
Contact information
Practice address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-7303
(319) 272-7318
Mailing address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-7304
(319) 272-7318
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
1878
IA
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
231H00000X
Audiologist
—
NULL
231H00000X
Audiologist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
07/18/2006
Last updated
12/02/2025
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