MERCYONE WATERLOO MEDICAL CENTER
NPI 1528009545
Emergency Medicine in Waterloo, IA
NPI Status: Active since June 09, 2006
Contact Information
3421 W 9TH ST
WATERLOO, IA
ZIP 50702
Phone: (319) 272-7600
Fax: (319) 272-7597
- Organization
- Emergency Medicine
- CLIA Number: 16D0931074
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-28-2027
About MERCYONE WATERLOO MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Mercyone Waterloo Medical Center, a provider established in Waterloo, Iowa operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1528009545 assigned on June 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Mercyone Waterloo Medical Center. The authorized official of this NPI record is Timothy Huber (Controller)
- NPI
- 1528009545
- Provider Legal Name
- COVENANT MEDICAL CENTER INC
- Other Organization Name
- MERCYONE WATERLOO MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3421 W 9TH ST WATERLOO, IA 50702
- Location Phone
- (319) 272-7600
- Location Fax
- (319) 272-7597
- Mailing Address
- 3421 W 9TH ST WATERLOO, IA 50702
- Mailing Phone
- (319) 272-7600
- Mailing Fax
- (319) 272-7597
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-09-2006
- Last Update Date
- 10-10-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0120972 | MEDICAID (05) | IA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 16D0931074
- Facility Type
- Physician Office
- Certificate Effective Date
- September 29, 2025
- Certificate Expiration Date
- September 28, 2027
- Laboratory Director
- JAMES V. HARTEL
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Mercyone Waterloo Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1528009545, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WATERLOO, IA 50702
WATERLOO, IA 50702
WATERLOO, IA 50702
WATERLOO, IA 50702
WATERLOO, IA 50702
WATERLOO, IA 50702
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528009545, enumerated as an "organization" on June 09, 2006.
The provider is located at 3421 W 9TH ST WATERLOO, IA 50702 and the phone number is (319) 272-7600.
Emergency Medicine with taxonomy code 207P00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.