Covenant Clinic

LBN: Covenant Medical Center Inc
Covenant Clinic 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 Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Covenant Medical Center Inc can be contacted via phone (319) 272-7303, or through Huber, Timothy via phone (319) 272-7600.

Contact Information

Primary practice address
3421 W 9Th St Waterloo IA 50702-5401
Phone: (319) 272-7303
Fax: (319) 272-7318
Website:
Map and Directions
Authorized official contact:
Name: Huber, Timothy
Phone: (319) 272-7600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1878 Iowa

Profile Details

NPI number 1548288160
LBN Legal business name Covenant Medical Center Inc
DBA Doing business as Covenant Clinic
Authorized official Huber, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 25th, 2022 - about 4 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 1548288160 NPPES
Iowa MEDICAID 0190686

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