MERCY MEDICAL CENTER-CENTERVILLE (NPI# 1093360679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093360679 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER-CENTERVILLE |
| Other Organization Name | MERCYONE OTTUMWA FAMILY AND INTERNAL MEDICINE CLINIC |
| Practice Address |
522 N Hancock St Ottumwa IA 52501-4231 |
| Mailing Address |
1 Saint Joseph Dr Centerville IA 52544-9017 |
| Practice Telephone | 6416830800 |
| Practice Fax Number | 6416830801 |
| Mailing Telephone | 6414373413 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | PAM S YOUNG (FINANCIAL ANALYST) |
| Authorized Official Telephone | 6414373413 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MercyOne Ottumwa Family and Internal Medicine Clinic | 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 |
| 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 |
522 N HANCOCK ST |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770569717 | Robert J Blommer | Internal Medicine | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2005-12-21 |
| 1043739279 | Paige Erin Caves | Physical Medicine & Rehabilitation | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2017-09-19 |
| 1548784671 | Sierra Dovico | Nurse Practitioner | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2017-07-31 |
| 1053778209 | Ashley Bland | Nurse Practitioner | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2016-01-19 |
| 1891126975 | Heather E Easton | Nurse Practitioner | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2013-11-27 |
| 1023456241 | Mercy Clinics, Inc | Internal Medicine | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2013-06-10 |
| 1013286020 | Kimberly Joan Brown | Nurse Practitioner | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2011-12-20 |
| 1891079257 | Mary Kay Henderson | Nurse Practitioner | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2011-10-04 |
| 1528354974 | Chad M Kelley | Physical Therapist | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2011-06-23 |
| 1134443849 | Deborah L Stephenson | Nurse Practitioner | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2010-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
| 1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| 1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
| 1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
| 1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
| 1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
| Find all providers in zip 52501 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548588171 | Rchp - Ottumwa LLC | Clinic/Center | 1001 Pennsylvania Ave, Central Clinic Bldg., Ottumwa, IA 52501-6427 | 2010-05-06 |
| 1174568794 | Ottumwa Regional Health Center Inc | Clinic/Center | 1001 Pennsylvania Ave, Central Clinic Billing, Ottumwa, IA 52501-6427 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463649 | Morrison Community Hospital District | Clinic/Center | 4622 Progress Dr Ste C, Davenport, IA 52807-3426 | 2020-09-30 |
| 1134787930 | Sanford Health Network | Clinic/Center | 215 N Market St, Suite 2, Lake Park, IA 51347-7706 | 2019-06-05 |
| 1417412750 | Nova Integrated Health, PC | Clinic/Center | 2675 N Ankeny Blvd Ste 113, Ankeny, IA 50023-4719 | 2019-01-31 |
| 1386832764 | Mercy Specialty Clinic | Clinic/Center | 1410 North 4th Street, Clinton, IA 52732-2940 | 2007-10-10 |
| 1316486616 | Vascular Institute of The Midwest PC | Clinic/Center | 3385 Dexter Ct Ste 100, Davenport, IA 52807-3471 | 2017-02-20 |
| 1811343916 | Pure Rehabilitation LLC | Clinic/Center | 201 N 7th St, Clarinda, IA 51632-0000 | 2016-05-06 |
| 1285809095 | Tops II, LLC | Clinic/Center | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3755 | 2008-04-23 |
| 1568509529 | Francis Lauer Youth Services | Clinic/Center | 50 N Eisenhower Ave, Mason City, IA 50401 | 2007-01-31 |
| 1992854863 | Winneshiek Medical Center | Clinic/Center | 901 Montgomery St, Decorah, IA 52101-2325 | 2007-01-09 |
| 1598779357 | Iowa Specialty Hospital-clarion | Clinic/Center | 1316 S Main St, Clarion, IA 50525-2019 | 2006-07-28 |
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| 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.