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Covenant Medical Center Inc
Prosthetic/Orthotic Supplier in Waterloo, Iowa
NPI 1134411416

Covenant Medical Center Inc is a Prosthetic/Orthotic Supplier based in Waterloo, IA. Covenant Medical Center Inc practices in Waterloo, IA. The NPI Number for Covenant Medical Center Inc is 1134411416 and holds a License No. (Iowa).

The current practice location address for Covenant Medical Center Inc is 441 E San Marnan Dr, Waterloo, IA and can be reached out via phone at 319-272-7600 and via fax at 319-272-7597.

Location: 441 E San Marnan Dr, Waterloo, IA, 50704-6280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134411416
Provider Name
Covenant Medical Center Inc
Credential
Provider Entity Type
Organization
Address
441 E San Marnan Dr, Waterloo, IA, 50704-6280
Phone Number
319-272-7600
Fax Number
319-272-7597
Provider Enumeration Date
05/05/2011
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1-07-039593 2 01 IA HOUSEHOLD HAXARDOUS MATERIAL RETAILER
6217 01 IA WHOLE DRUG LICENSE
institution
Provider Business Practice Location Address Details
Address
441 E San Marnan Dr
City
Waterloo
State
Iowa
Zip
50702-5900
Phone Number
319-272-7600
Fax Number
319-272-7597
person
Provider Business Mailing Address Details
Address
441 E San Marnan Dr
City
Waterloo
State
Iowa
Zip
50702-5900
Phone Number
319-272-7600
Fax Number
319-272-7597
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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