Covenant Medical Center Inc
Organization Active NPI General Acute Care Hospital · Waterloo, IA
NPI 1700827896 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1700827896
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 070137H (IA)
- Legal business name
- COVENANT MEDICAL CENTER INC
- Practice address
- 3421 W 9TH St
Waterloo, IA 50702-5401 - Phone
- (319) 272-8000
- Fax
- (319) 272-7597
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Timothy Huber
- Title
- Controller
- Phone
- (319) 272-7607
Owners & managing parties with NPI records 1
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 14
Related certifications (CCN) 1
Facilities with the same owner 215
Practitioners 252
-
Baha M Abbad, MD
-
Eman Al-Selmie, M.D.
-
Kristi Sue Allison, CNM
-
Olanike Omotola Alonge-Obe, MD, MPH
-
Nan L Ambrosy, DNP, ARNP
-
Rachel Anne Amling, ARNP
-
Robert Bryan Boyle, APRN
-
Marcia Lyn Corson, CNM
-
Steven Henning, PA-C
-
Kristina Hunter, MD
-
John D. Ingram, M.D.
-
Gary A Knudson, MD
-
Krista Rae Miller, CNM
-
Caitlin Lee Mostek, CNM, ARNP, MSN
-
Suzanne E Munns, MD
-
Ladawna Myrmo, CNM
-
Muhammad Naeem, MD
Affiliated clinicians 450
-
Baha M Abbad, MD
-
Victor Adam Abrich, M.D.
-
Ashar Afzal, MD
-
Eman Al-Selmie, M.D.
-
Madison Ann Albert, ARNP
-
Kristi Sue Allison, CNM
-
Olanike Omotola Alonge-Obe, MD, MPH
-
Nan L Ambrosy, DNP, ARNP
-
Rachel Anne Amling, ARNP
-
Kartik Anand, MD
-
Rajeev Anugu, M.D.
-
Kathryn Marie Arthur, ARNP
-
Maliha Arzumand, DPM
-
Eric John Askeland, M.D.
-
Michael R Atherley, PA-C
-
Jacqueline Frances Ator, ARNP
-
Luis Avila, MD
-
Jane Marie Baker, ARNP
-
Christopher Louis Ball, PA-C
-
Renu Bansal, MD
-
Mark A Barnard, M.D.
-
Jamie L Barnett, ARNP
-
Elizabeth Batterson, ARNP
Medicare Care Compare: Hospital
- Listed as
- Mercyone Waterloo Medical Center
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Hospital certification: CCN 160067
- Legal name
- COVENANT MEDICAL CENTER INC
- Doing business as
- MERCYONE WATERLOO MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Jul 29, 2016
- Beds
- 423
- Ownership / control type
- Church
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 3421 W 9TH St
Waterloo, IA 50702-5401 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Lora L Dinsdale |
W-2 Managing Employee |
Mar 2, 1987 | |
| Ryan D Meyer |
Corporate Officer |
Jan 1, 2023 | |
| W-2 Managing Employee |
Jan 1, 2023 | ||
| Timothy J Huber |
Corporate Officer |
Apr 10, 2017 | |
| W-2 Managing Employee |
Dec 7, 1987 | ||
| Wheaton Franciscan Healthcare - Iowa Inc |
5% Or Greater Direct Ownership Interest | Mar 20, 2006 | 100% |
| Sheila Gifford |
Corporate Officer |
Aug 1, 2025 | |
| Mercy Health Network Inc |
5% Or Greater Indirect Ownership Interest | May 1, 2016 | 100% |
| Rachelle a Makinde |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Jan 1, 2022 | ||
| Sandra Lynn Benak |
Corporate Director |
Jan 1, 2021 | |
| Kurt a Andersen |
Corporate Director |
Jan 1, 2025 | |
| Nancy K Kertz |
Corporate Director |
Jan 1, 2025 | |
| Bryan Burton |
Corporate Director |
Jan 1, 2025 | |
| Trinity Health Corporation |
5% Or Greater Indirect Ownership Interest | May 1, 2016 | 100% |
| David W Deaver |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Apr 2, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090519000022 | IA | Part a Provider - Hospital | 0244148732 |
National Provider Directory
- Tax ID family
- Tobert Daren MD
Locations
200 E Ridgeway Ave
Ste 100
Waterloo, IA 50702
3421 W 9th St
Ste 4600
Waterloo, IA 50702
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 070137H | IA | Yes |
| Ambulance | 341600000X |
Addresses
Primary practice location
3421 W 9TH St
Waterloo, IA 50702-5401
Mailing address
3421 W 9TH St
Waterloo, IA 50702-5401
Phone (319) 272-7600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06-00676 | Medicaid | IA |
Other names
- MercyOne Waterloo Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocuentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
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All providers in Waterloo, IA · General Acute Care Hospital in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.