NPIMap

Organization Active NPI

Covenant Medical Center, Inc.

Doing business as MercyOne Evansdale home medical equipment

  • Customized Equipment (DME)
  • Evansdale, IA
National Provider Identifier
1851141980
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
COVENANT MEDICAL CENTER, INC.
Doing business as
MercyOne Evansdale home medical equipment
Practice address
110 S Evans Rd
Evansdale, IA 50707-1144
Phone
(319) 272-6156
Fax
(319) 272-6157
NPI assigned
Mar 22, 2024
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COVENANT MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Huber
Title
VPF
Phone
(319) 272-7607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

110 S Evans Rd
Evansdale, IA 50707-1144

Mailing address

3421 W 9TH St
Waterloo, IA 50702-5401
Phone (319) 272-7300

Other names 1

  • MercyOne Evansdale home medical equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250401000882 IA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 0244148732 Practice locations: Evansdale, IA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mercyone Evansdale Home Medical Equ110 S Evans Rd, Evansdale, IA 50707-1144(319) 272-6156 Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Rel… Accepts assignmentParticipating since Jul 17, 1990

National Provider Directory

National Provider Directory
Tax ID family
Lee O Fagre MD15 organizations share this tax ID, including this one
Part of
Lee O Fagre MD

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations (25 of 29)

502 Locust St
Allison, IA 50602
Phone (319) 267-2759

226 Bluebell Rd
Ste Opt
Cedar Falls, IA 50613
Phone (319) 272-7425

515 College St
Ste 2000
Cedar Falls, IA 50613

516 Division St
Ste 100
Cedar Falls, IA 50613
Phone (319) 268-3000

516 Division St
Ste 110
Cedar Falls, IA 50613
Phone (319) 268-3550

602 Clay St
Cedar Falls, IA 50613
Phone (319) 268-0461

110 S Evans Rd
Evansdale, IA 50707
Phone (319) 272-6151

3574 Lafayette Rd
Evansdale, IA 50707
Phone (319) 272-6151

220 Waterloo Rd
Hudson, IA 50643
Phone (319) 988-4100

2002 Enterprise Ct
Independence, IA 50644
Phone (319) 272-6137

201 8th Ave SE
Ste 411
Oelwein, IA 50662
Phone (319) 283-6500

501 Main St
Reinbeck, IA 50669
Phone (319) 345-6461

1004 E 1st St
Ste 2000
Sumner, IA 50674

549 2nd St
Traer, IA 50675
Phone (319) 478-2296

2051 Kimball Ave
Waterloo, IA 50702
Phone (319) 272-1820

2055 Kimball Ave
Ste 101
Waterloo, IA 50702
Phone (319) 272-2112

2204 Kimball Ave
Waterloo, IA 50702
Phone (319) 272-7200

2710 Saint Francis Dr
Ste 101
Waterloo, IA 50702
Phone (319) 272-2780

2710 Saint Francis Dr
Ste 104
Waterloo, IA 50702
Phone (319) 272-6733

2710 Saint Francis Dr
Ste 110
Waterloo, IA 50702
Phone (319) 234-2616

2710 Saint Francis Dr
Ste 318
Waterloo, IA 50702

2710 Saint Francis Dr
Ste 319
Waterloo, IA 50702
Phone (319) 236-3876

2710 Saint Francis Dr
Ste 409
Waterloo, IA 50702
Phone (317) 272-8253

2710 Saint Francis Dr
Ste 411
Waterloo, IA 50702
Phone (319) 272-5805

2750 Saint Francis Dr
Waterloo, IA 50702
Phone (319) 272-8922

Practitioners & affiliated clinicians

Practitioners 293

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 293

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1851141980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 W 9TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025401",
            "telephone_number": "319-272-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S EVANS RD",
            "city": "EVANSDALE",
            "state": "IA",
            "postal_code": "507071144",
            "telephone_number": "319-272-6156",
            "fax_number": "319-272-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT MEDICAL CENTER, INC.",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "VPF",
        "authorized_official_telephone_number": "319-272-7607"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne Evansdale home medical equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Evansdale home medical equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansdale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.