Mercyone Waterloo Pharmacy

LBN: Covenant Medical Center Inc
Mercyone Waterloo Pharmacy is an health care organization with primary practice located at 2710 Saint Francis Dr Ste 101, Waterloo IA 50702-5619. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Covenant Medical Center Inc can be contacted via phone (319) 272-5700, or through Huber, Timothy via phone (319) 272-7600.

Contact Information

Primary practice address
2710 Saint Francis Dr Ste 101 Waterloo IA 50702-5619
Phone: (319) 272-5700
Fax: (319) 272-0188
Website:
Map and Directions
Authorized official contact:
Name: Huber, Timothy
Phone: (319) 272-7600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 284 Iowa

Profile Details

NPI number 1497796494
LBN Legal business name Covenant Medical Center Inc
DBA Doing business as Mercyone Waterloo Pharmacy
Authorized official Huber, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Oct 2nd, 2019 - about 5 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 1497796494 NPPES
Iowa MEDICAID 0086330
Iowa Other 2130096

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