Organization
COVENANT MEDICAL CENTER INC
Active
Other names
MercyOne Waterloo Medical Center
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) 272-7600
(319) 272-7597
Mailing address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-7600
(319) 272-7597
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120972
—
IA
Enumeration date
06/09/2006
Last updated
10/10/2024
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