MERCY MEDICAL CENTER-CENTERVILLE (NPI# 1528018801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528018801 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER-CENTERVILLE |
| Practice 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 | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0069047 | 05 | |
| IA | WELLMARK | 01896 | 01 |
| 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 |
| 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 |
| 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 |
| 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 | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285891598 | Buffalo Center Volunteer Ambulance | Clinic/Center | Hwy 9, Buffalo Center, IA 50424 | 2008-05-22 |
| 1023238615 | City of Bondurant | Clinic/Center | 200 2nd St Ne, Bondurant, IA 50035-1021 | 2007-04-26 |
| 1619969086 | Crawford County Memorial Hospital | Clinic/Center | 2020 1st Ave S, Denison, IA 51442-2210 | 2005-08-22 |
| 1730407362 | Rchp - Ottumwa LLC | Clinic/Center | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2010-05-06 |
| 1477690519 | Clarinda Regional Health Center Er | Clinic/Center | 220 Essie Davison Dr, Clarinda, IA 51632-2915 | 2007-01-30 |
| 1700935202 | Ringgold County Hospital | Clinic/Center | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-01-10 |
| 1386709129 | Madison County Memorial Hospital | Clinic/Center | 300 W Hutchings St, Winterset, IA 50273-2104 | 2006-12-22 |
| 1043384423 | City of Sutherland | Clinic/Center | 116 Pine St, Sutherland, IA 51058 | 2006-11-20 |
| 1144306945 | Regional Health Services of Howard County | Clinic/Center | 321 8th Ave W, Cresco, IA 52136-1064 | 2006-10-27 |
| 1649354937 | Franklin General Hospital | Clinic/Center | 1720 Central Ave E, Hampton, IA 50441-1859 | 2006-10-24 |
| 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.