MERCY MEDICAL CENTER-CENTERVILLE (NPI# 1174573455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174573455 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER-CENTERVILLE |
| Practice Address |
1040 N 18th St Centerville IA 52544-1118 |
| Mailing Address |
1 Saint Joseph Dr Centerville IA 52544-9017 |
| Practice Telephone | 6414374111 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-04-19 |
| Authorized Official Name | PAM YOUNG (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 6414373413 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK | 60020 | 01 |
| IA | 0600205 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558529206 | Mercy Medical Center-centerville | Clinic/Center | 19876 St. Joseph's Drive, Centerville, IA 52544 | 2008-05-29 |
| 1205023868 | Mercy Medical Center-centerville | Home Health | 1 St. Joseph's Drive, Centerville, IA 52544 | 2007-09-27 |
| 1083664361 | Mercy Medical Center-centerville | Home Health | 19898 Saint Joseph Drive, Centerville, IA 52544-9088 | 2006-05-10 |
| 1093360679 | Mercy Medical Center-centerville | Internal Medicine | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2019-08-09 |
| 1679700173 | Mercy Medical Center-centerville | Family Medicine | 19876 St. Joseph's Drive, Centerville, IA 52544 | 2009-06-11 |
| 1255484903 | Mercy Medical Center-centerville | Ambulance | 1 Saint Joseph Dr, Centerville, IA 52544-9017 | 2007-01-18 |
| 1356391635 | Mercy Medical Center-centerville | General Acute Care Hospital | 1 Saint Joseph Dr, Centerville, IA 52544-9017 | 2006-05-10 |
| 1265482541 | Mercy Medical Center-centerville | Nursing Facility/Intermediate Care Facility | 1 Saint Joseph Dr, Centerville, IA 52544-9088 | 2006-05-10 |
| 1619927993 | Mercy Medical Center-centerville | Hospice Care, Community Based | 19898 Saint Joseph Drive, Centerville, IA 52544-8850 | 2006-05-10 |
| 1528018801 | Mercy Medical Center-centerville | Clinic/Center | 1 Saint Joseph Dr, Centerville, IA 52544-9017 | 2006-05-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER-CENTERVILLE | 1 St Joseph Dr, Centerville, IA 52544-9017 |
| Street Address |
1040 N 18TH ST |
| City | CENTERVILLE |
| State | IA |
| Zip Code | 52544-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164768099 | Fresenius Medical Care Cline Dialysis, LLC | Clinic/Center | 1040 N 18th St, Centerville, IA 52544-1118 | 2012-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053651166 | Amy Spencer | Pharmacist | 609 N. 18th Street, Centerville, IA 52544 | 2013-02-26 |
| 1710253497 | Caregivers Home Health, LLC | Home Health | 19999 Saint Josephs Drive, Centerville, IA 52544 | 2012-03-28 |
| 1558529206 | Mercy Medical Center-centerville | Clinic/Center | 19876 St. Joseph's Drive, Centerville, IA 52544 | 2008-05-29 |
| 1205023868 | Mercy Medical Center-centerville | Home Health | 1 St. Joseph's Drive, Centerville, IA 52544 | 2007-09-27 |
| 1043414394 | Appanoose Community Care Services | Home Health | 19890 St. Joseph's Drive, Centerville, IA 52544 | 2007-06-12 |
| 1659591816 | The Continental At St. Joseph's | Assisted Living Facility | 19999 St. Joseph's Drive, Centerville, IA 52544 | 2007-04-27 |
| 1255456315 | Kirk & Gordy Associates, LLC | Clinic/Center | 415 and A Half North Haynes, Centerville, IA 52544 | 2007-03-20 |
| 1114087574 | New Focus Inc | Clinic/Center | 102 W Washington, New Focus Inc, Centerville, IA 52544 | 2006-12-08 |
| 1134169030 | Ron Michael Harshman | Dentist | 501 W Jackson St, Centerville, IA 52544 | 2006-06-08 |
| 1700835865 | State University of Iowa | Family Medicine | 19876 St. Joseph Drive, Centerville, IA 52544 | 2006-05-08 |
| Find all providers in zip 52544 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053895425 | Dialysis Associates, LLC | Clinic/Center | 193 Brown Jct, Centerville, TN 37033-1334 | 2018-09-20 |
| 1366952574 | Fresenius Medical Care Centerville Home, LLC | Clinic/Center | 7700 Washington Village Dr Ste 110, Centerville, OH 45459-4094 | 2017-10-03 |
| 1164768099 | Fresenius Medical Care Cline Dialysis, LLC | Clinic/Center | 1040 N 18th St, Centerville, IA 52544-1118 | 2012-12-20 |
| 1447470513 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 193 Brown Junction Lane, Centerville, TN 37033-1344 | 2007-04-30 |
| 1518269174 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 7700 Washington Village Dr, Suite 100, Centerville, OH 45459-3953 | 2010-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817218 | Fresenius Medical Care Ottumwa, LLC | Clinic/Center | 1655 E San Marnan Dr Ste E, Waterloo, IA 50702-4380 | 2020-09-30 |
| 1669001038 | Honeyman Dialysis LLC | Clinic/Center | 701 Tama St Ste 150, Marion, IA 52302-4806 | 2020-04-07 |
| 1588221824 | Rcg Mercy Des Moines LLC | Clinic/Center | 9080 University Ave, West Des Moines, IA 50266-1892 | 2019-05-22 |
| 1639634207 | Fresenius Medical Care Ottumwa, LLC | Clinic/Center | 1110 N Quincy Ave Ste 44, Ottumwa, IA 52501-3884 | 2019-02-07 |
| 1245755529 | Trusten Dialysis LLC | Clinic/Center | 1119 73rd St, Windsor Heights, IA 50324-1313 | 2017-08-08 |
| 1477086692 | Wallips Dialysis, LLC | Clinic/Center | 1117 Hazel St, Pella, IA 50219-1338 | 2017-04-05 |
| 1821499245 | Clyfee Dialysis LLC | Clinic/Center | 1228 E Rusholme St Ste 1000, Davenport, IA 52803-2467 | 2014-09-05 |
| 1477980365 | Honeyman Dialysis LLC | Clinic/Center | 1002 4th Ave Se Ste A, Ste A, Cedar Rapids, IA 52403-2425 | 2013-10-09 |
| 1982947792 | Davis Dialysis LLC | Clinic/Center | 5865 Sunnybrook Dr, Sioux City, IA 51106-4203 | 2013-03-29 |
| 1972843738 | Geyser Dialysis LLC | Clinic/Center | 2625 N Ankeny Blvd, Ankeny, IA 50023 | 2013-02-15 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 52544 |
Please comment or provide details below to improve the information on MERCY MEDICAL CENTER-CENTERVILLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.