MERCY MEDICAL CENTER-CENTERVILLE (NPI# 1619927993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619927993 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER-CENTERVILLE |
| Other Organization Name | ST. JOSEPH MERCY HOSPICE |
| Practice Address |
19898 Saint Joseph Drive Centerville IA 52544-8850 |
| Mailing Address |
1 Saint Joseph Dr Centerville IA 52544-9088 |
| Practice Telephone | 6414374111 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-03-22 |
| 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 | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0615591 | 05 | |
| IA | WELLMARK | 61559 | 01 |
| Other Name | Type Code |
|---|---|
| St. Joseph Mercy Hospice | 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 |
| 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 |
| 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 |
19898 SAINT JOSEPH DRIVE |
| City | CENTERVILLE |
| State | IA |
| Zip Code | 52544-8850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083664361 | Mercy Medical Center-centerville | Home Health | 19898 Saint Joseph Drive, Centerville, IA 52544-9088 | 2006-05-10 |
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437449147 | Chi National Home Care | Hospice Care, Community Based | 19898 Saint Joseph Dr, Centerville, IA 52544-8850 | 2011-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665603 | Hillcrest Hospice LLC | Hospice Care, Community Based | 1702 W Broadway Ste 7, Council Bluffs, IA 51501-3867 | 2020-09-30 |
| 1144868928 | Physmed Iowa LLC | Hospice Care, Community Based | 1130 S Scott Blvd Ste 201, Iowa City, IA 52240-2908 | 2019-12-12 |
| 1750926481 | Moments Hospice of Des Moines LLC | Hospice Care, Community Based | 4150 Westown Pkwy Ste 106, West Des Moines, IA 50266-5901 | 2019-11-18 |
| 1285197160 | Visiting Nurse Services of Iowa | Hospice Care, Community Based | 118 N. Main Street, Mount Pleasant, IA 52641-2052 | 2019-04-09 |
| 1053877332 | Cedar Valley Hospice, LLC | Hospice Care, Community Based | 1850 Boyson Rd Ste A, Hiawatha, IA 52233-2316 | 2019-02-12 |
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1588191829 | Unitypoint At Home | Hospice Care, Community Based | 290 Blairs Ferry Rd Ne Ste 100, Cedar Rapids, IA 52402-1618 | 2017-05-17 |
| 1043757495 | Avalon Hospice Iowa, LLC | Hospice Care, Community Based | 4601 Westown Pkwy, Suite 105, West Des Moines, IA 50266-1081 | 2017-01-24 |
| 1023401254 | Hospice of The Midwest, LLC | Hospice Care, Community Based | 9203 Northpark Dr, Johnston, IA 50131-2933 | 2015-03-12 |
| 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.