MERCY MEDICAL CENTER-CENTERVILLE (NPI# 1083664361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083664361 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER-CENTERVILLE |
| Other Organization Name | MERCY HOME CARE |
| Practice Address |
19898 Saint Joseph Drive Centerville IA 52544-9088 |
| Mailing Address |
1 Saint Joseph Drive 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 | 251E00000X | Home Health | IA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK | 67221 | 01 |
| IA | 0672212 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Home Care | 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 |
| 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 |
| 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 | 52544-9088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619927993 | Mercy Medical Center-centerville | Hospice Care, Community Based | 19898 Saint Joseph Drive, Centerville, IA 52544-8850 | 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881219301 | Monarch Home Care | Home Health | 93 W Franklin St Ste 206, Centerville, OH 45459-4761 | 2020-06-10 |
| 1184263436 | Prince Home Health Care Inc | Home Health | 8750 Shadycreek Dr, Centerville, OH 45458-3337 | 2020-01-03 |
| 1194138438 | All In A Day Senior Care Services.com | Home Health | 6913 Confederate Ridge Lane, Centerville, VA 20121 | 2014-06-04 |
| 1457775157 | Unity Care Group LLC | Home Health | 650 Congress Park Dr, Centerville, OH 45459-4000 | 2014-02-16 |
| 1164766283 | Loving Kindness Home Care Services | Home Health | 47 Gleneagle Dr., Centerville, MA 02632-2316 | 2012-11-15 |
| 1710253497 | Caregivers Home Health, LLC | Home Health | 19999 Saint Josephs Drive, Centerville, IA 52544 | 2012-03-28 |
| 1740569912 | Love & Care Home Health Care | Home Health | 209 Scarborough Rd, Centerville, GA 31028-1335 | 2011-08-05 |
| 1003105446 | Chi National Home Care | Home Health | 19898 Saint Joseph Dr, Centerville, IA 52544-8850 | 2011-04-06 |
| 1316273121 | Ddc Group Inc. | Home Health | 10554 Success Ln, Centerville, OH 45458-3658 | 2009-10-29 |
| 1457592107 | Ida Marie Perry | Home Health | 4 Capn Lijahs Rd, Centerville, MA 02632-1610 | 2009-03-10 |
| Find all providers in CENTERVILLE | ||||
| 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.