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
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
1878
IA
213E00000X
Podiatrist
—
—
231H00000X
Audiologist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190686
—
IA
Enumeration date
07/18/2006
Last updated
12/02/2025
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