MERCY MEDICAL CENTER-CENTERVILLE (NPI# 1356391635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356391635 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER-CENTERVILLE |
| Other Organization Name | MERCYONE CENTERVILLE MEDICAL CENTER |
| Practice Address |
1 Saint Joseph Dr Centerville IA 52544-9017 |
| Practice Telephone | 6414374111 |
| Practice Fax Number | 6414373422 |
| Mailing Telephone | 6414374111 |
| Mailing Fax Number | 6414373422 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-02-13 |
| 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RR MEDICARE | CD4303 | 01 |
| IA | WELLMARK | 60020 | 01 |
| IA | 0600205 | 05 |
| Other Name | Type Code |
|---|---|
| Mercyone Centerville Medical Center | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1346290624 | Mercy Medical Center-centerville | Obstetrics & Gynecology | 1 Saint Joseph Dr, Centerville, IA 52544-9088 | 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 |
1 SAINT JOSEPH DR |
| City | CENTERVILLE |
| State | IA |
| Zip Code | 52544-9017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225451909 | Catholic Health Initiatives, Iowa Corp | Ambulance | 1 Saint Joseph Dr, Centerville, IA 52544-9017 | 2014-01-30 |
| 1780917831 | Carol Belloma | Nurse Practitioner | 1 Saint Joseph Dr, Centerville, IA 52544-9017 | 2009-09-08 |
| 1881891794 | Craig E. Cantrall | Physical Therapist | 1 Saint Joseph Dr, Centerville, IA 52544-9017 | 2007-07-03 |
| 1255484903 | Mercy Medical Center-centerville | Ambulance | 1 Saint Joseph Dr, Centerville, IA 52544-9017 | 2007-01-18 |
| 1578664637 | Rural Diagnostic Radiology, Inc | Radiology | 1 Saint Joseph Dr, Centerville, IA 52544-9017 | 2006-09-25 |
| 1427008473 | Erica Collins | Obstetrics & Gynecology | 1 Saint Joseph Dr, Centerville, IA 52544-9088 | 2006-05-11 |
| 1265482541 | Mercy Medical Center-centerville | Nursing Facility/Intermediate Care Facility | 1 Saint Joseph Dr, Centerville, IA 52544-9088 | 2006-05-10 |
| 1528018801 | Mercy Medical Center-centerville | Clinic/Center | 1 Saint Joseph Dr, Centerville, IA 52544-9017 | 2006-05-10 |
| 1346290624 | Mercy Medical Center-centerville | Obstetrics & Gynecology | 1 Saint Joseph Dr, Centerville, IA 52544-9088 | 2006-05-10 |
| 1437109717 | Mercy Medical Center-centerville | Durable Medical Equipment & Medical Supplies | 1 Saint Joseph Dr, Centerville, IA 52544-9088 | 2006-05-10 |
| Find all providers in the same location | ||||
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144378621 | Loring Hospital | General Acute Care Hospital | 211 Highland Ave, Sac City, IA 50583-2416 | 2007-01-08 |
| 1245387844 | Manning Regional Healthcare Center | General Acute Care Hospital | 1550 6th St, Manning, IA 51455-1004 | 2007-01-04 |
| 1922164581 | Madison County Health Care System | General Acute Care Hospital | 300 Hutchings, Winterset, IA 50273 | 2006-12-28 |
| 1508964123 | Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | General Acute Care Hospital | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2006-09-20 |
| 1831296052 | Ellsworth Municipal Hospital | General Acute Care Hospital | 920 South Oak St., Iowa Falls, IA 50126-9506 | 2006-09-20 |
| 1376650994 | Va Central Iowa Health Care System | General Acute Care Hospital | 3600 30th St., Des Moines, IA 50310-5774 | 2006-08-23 |
| 1831102557 | Central Community Hospital | General Acute Care Hospital | 901 Davidson St Nw, Elkader, IA 52043-9015 | 2006-08-14 |
| 1184645434 | Central Community Hospital | General Acute Care Hospital | 901 Davidson Street Nw, Elkader, IA 52043-9015 | 2006-07-22 |
| 1245260652 | Greene County Medical Center | General Acute Care Hospital | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2006-07-03 |
| 1851327563 | Baum-harmon Mercy Hospital | General Acute Care Hospital | 255 N Welch Ave., Primghar, IA 51245-0528 | 2006-06-24 |
| 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.