NPI 1548288160 · live from the CMS NPI Registry
Covenant Medical Center INC
Family Medicine in Waterloo, IA. National Provider Identifier 1548288160, active.
NPI record
| NPI | 1548288160 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3421 W 9th St, Waterloo, IA 50702 |
| Practice phone | 319-272-7303 |
| Enumerated | July 18, 2006 |
| Last updated | December 2, 2025 |
| Authorized official | Timothy Huber, Controller |
| Other names | Mercyone Medical Group Northeast Iowa |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Social Worker | 104100000X | — |
| Podiatrist | 213E00000X | — |
| Audiologist | 231H00000X | — |
| Nurse Anesthetist, Certified Registered | 367500000X | — |
| Psychologist | 103T00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Physician Assistant | 363A00000X | — |
| Family Medicine primary | 207Q00000X | 1878 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.