Organization · Type 2 NPI

Covenant Medical Center, Inc.

Customized Equipment (DME) · Evansdale, IA

NPI number 1851141980 Active

Practice location

110 S Evans Rd
Evansdale, IA 50707-1144

Call (319) 272-6156 Map

Fax (319) 272-6157

Mailing address

3421 W 9th St
Waterloo, IA 50702-5401

Specialties and licenses

Taxonomy	Code	License
Customized Equipment (DME) Primary	332BC3200X	None listed

Customized Equipment (DME): Definition to come...

NPI record

NPI: 1851141980
Entity type: Organization (Type 2)
Issued: Mar 22, 2024
Last updated: Oct 10, 2024
Status: Active
Subpart: Yes of Covenant Medical Center, Inc.

Other names

<unavail>
Mercyone Evansdale Home Medical Equipment · doing business as
Mercyone Evansdale Home Medical Equipment · doing business as

Authorized official

Timothy Huber
VPF
(319) 272-7607

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1851141980

Covenant Medical Center, Inc.'s National Provider Identifier is 1851141980, issued on Mar 22, 2024. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Evansdale, IA. The record was last updated on Oct 10, 2024.