NPIMap

Organization Active NPI

Covenant Medical Center Inc

Doing business as MercyOne Waterloo Medical Center

  • Rehabilitation Hospital Unit
  • Waterloo, IA
National Provider Identifier
1932140969
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
070137H Issued in IA
Legal business name
COVENANT MEDICAL CENTER INC
Doing business as
MercyOne Waterloo Medical Center
Practice address
3421 W 9TH St
Waterloo, IA 50702-5401
Phone
(319) 272-8000
NPI assigned
Jun 9, 2006
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COVENANT MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Timothy Huber
Title
Director Financial Operations
Phone
(319) 272-7607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 070137H IA Primary

Addresses

Primary practice location

3421 W 9TH St
Waterloo, IA 50702-5401

Mailing address

3421 W 9TH St
Waterloo, IA 50702-5401
Phone (319) 272-8000

Other identifiers 1

IdentifierTypeStateIssuer
0600676MedicaidIA

Other names 1

  • MercyOne Waterloo Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090512000555 IA Part A Provider - Hospital 0244148732 Practice locations: Waterloo, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932140969. Details of each certification follow.

Hospital certification: CCN 16T067

Legal name
COVENANT MEDICAL CENTER INC
Doing business as
MERCYONE WATERLOO MEDICAL CENTER
Organization structure
CorporationNon-profit
Enrollment address
3421 W 9TH St
Waterloo, IA 50702-5401
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Mercyone Waterloo Inpatient Physical RehabilitatioCCN 16T067 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 1984

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

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lora L Dinsdale Individual W-2 Managing EmployeeDirector, Corporate Compliance Mar 2, 1987
Ryan D Meyer Individual Corporate OfficerCoo Feb 28, 2021
Timothy J Huber Individual Corporate OfficerTreasurer Apr 10, 2017
W-2 Managing EmployeeDirector of Financial Operations Dec 7, 1987
Wheaton Franciscan Healthcare - Iowa Inc Organization, Waterloo, IA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 20, 2006 100%
Sheila Gifford Individual Corporate OfficerSecretary Aug 1, 2025
Mercy Health Network Inc Organization, Clive, IA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2016 100%
Rachelle a Makinde Individual Corporate OfficerVice Chair Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2022
Sandra Lynn Benak Individual Corporate DirectorBoard Member Jan 1, 2020
Kurt a Andersen Individual Corporate DirectorBoard Member Jan 1, 2025
Nancy K Kertz Individual Corporate DirectorBoard Member Jan 1, 2025
Bryan Burton Individual Corporate DirectorBoard Member Jan 1, 2025
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest May 1, 2016 100%
David W Deaver Individual Corporate OfficerChair Apr 2, 2015
Corporate DirectorBoard Member Apr 2, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 215

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 215

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1932140969",
    "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": "319-272-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 W 9TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025401",
            "telephone_number": "319-272-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT MEDICAL CENTER INC",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DIRECTOR FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "319-272-7607"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IA",
            "license": "070137H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600676",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MercyOne Waterloo Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.