Covenant Medical Center Inc

LBN: Covenant Medical Center Inc
Covenant Medical Center Inc is an health care organization with primary practice located at 3421 W 9Th St , Waterloo IA 50702-5401. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Covenant Medical Center Inc can be contacted via phone (319) 272-7600, or through Panicucci, Michele M. via phone (319) 272-7300.

Contact Information

Primary practice address
3421 W 9Th St Waterloo IA 50702-5401
Phone: (319) 272-7600
Fax: (319) 272-7597
Website:
Map and Directions
Authorized official contact:
Name: Panicucci, Michele M.
Phone: (319) 272-7300

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1114054723
LBN Legal business name Covenant Medical Center Inc
DBA Doing business as
Authorized official Panicucci, Michele M.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 28th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114054723 NPPES
Iowa MEDICAID 0079350

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