MOSAIC MEDICAL CENTER - MARYVILLE (NPI# 1205300498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205300498 |
| Entity Type | Organization |
| Organization Name | MOSAIC MEDICAL CENTER - MARYVILLE |
| Other Organization Name | MOSAIC FAMILY CARE - BEDFORD |
| Practice Address |
408 Dodge St Bedford IA 50833-1413 |
| Practice Telephone | 7125232738 |
| Practice Fax Number | 7125233256 |
| Mailing Telephone | 7125232738 |
| Mailing Fax Number | 7125233256 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-06-10 |
| Authorized Official Name | DWIGHT R CARVELL (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 8162730473 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mosaic Family Care - Bedford | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093289431 | Mosaic Medical Center - Maryville | Family Medicine | 301 E Price Ave Ste A, Savannah, MO 64485-2482 | 2019-01-18 |
| 1184189797 | Mosaic Medical Center - Maryville | Internal Medicine | 2016 S Main St, Maryville, MO 64468-2655 | 2019-02-07 |
| 1598239790 | Mosaic Medical Center - Maryville | Family Medicine | 114 E South Hills Dr, Maryville, MO 64468-2659 | 2019-01-22 |
| 1568936995 | Mosaic Medical Center - Maryville | Medicare Defined Swing Bed Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1477027803 | Mosaic Medical Center - Maryville | Psychiatric Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1265906663 | Mosaic Medical Center - Maryville | General Acute Care Hospital | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1821562265 | Mosaic Medical Center - Maryville | Clinic/Center | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOSAIC MEDICAL CENTER - MARYVILLE | 2016 S Main St, Maryville, MO 64468-2655 |
| Iowa Business Entities | MOSAIC MEDICAL CENTER - MARYVILLE | 2016 South Main, Maryville, MO 64468 |
| Street Address |
408 DODGE ST |
| City | BEDFORD |
| State | IA |
| Zip Code | 50833-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345730 | Michelle L. Kempf | Nurse Practitioner | 408 Dodge St, Bedford, IA 50833-1413 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649765199 | Michael Schweitzer | Pharmacist | 419 Main St., Bedford, IA 50833-0066 | 2018-06-27 |
| 1942381538 | Alegent Health - Mercy Hospital, Corning, Iowa | Clinic/Center | 1502 Madison St, Bedford, IA 50833-1043 | 2006-10-18 |
| 1215597588 | Jessica R Thornton | Nurse Practitioner | 1502 Madison St, Bedford, IA 50833-1043 | 2019-06-18 |
| 1528115474 | Bedford C.s.d. | Local Education Agency (LEA) | 906 Pennsylvania St, Bedford, IA 50833-1046 | 2007-01-04 |
| 1568432466 | Care Initiatives | Skilled Nursing Facility | 1005 Pearl St, Bedford, IA 50833-1276 | 2006-01-24 |
| 1043202062 | County of Taylor | Public Health or Welfare | 405 Jefferson St, Ste 1, Bedford, IA 50833-1300 | 2005-08-16 |
| 1144689423 | County of Taylor | Public Health or Welfare | 405 Jefferson St, Ste 1, Bedford, IA 50833-1300 | 2016-02-16 |
| 1356478549 | Taylor County Public Health Agency | Public Health or Welfare | 405 Jefferson St, Bedford, IA 50833-1300 | 2007-02-27 |
| 1174650360 | Taylor County Public Health | Public Health or Welfare | 405 Jefferson St, Bedford, IA 50833-1300 | 2007-02-27 |
| 1083741276 | Taylor County Public Health Agency | Public Health or Welfare | 405 Jefferson St, Bedford, IA 50833-1300 | 2007-02-27 |
| Find all providers in zip 50833 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942381538 | Alegent Health - Mercy Hospital, Corning, Iowa | Clinic/Center | 1502 Madison St, Bedford, IA 50833-1043 | 2006-10-18 |
| 1952929812 | Carilion Stonewall Jackson Hospital | Clinic/Center | 548 Blue Ridge Ave, Bedford, VA 24523-2604 | 2020-07-08 |
| 1811512791 | Carilion Healthcare Corporation | Clinic/Center | 548 Blue Ridge Ave, Bedford, VA 24523-2604 | 2020-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294536 | Jefferson County Hospital | Clinic/Center | 107 W Harrison St, Richland, IA 52585-9549 | 2020-10-30 |
| 1255930178 | Humboldt County Memorial Hospital | Clinic/Center | 1000 15th St N Ste C, Humboldt, IA 50548-1008 | 2020-10-21 |
| 1104440809 | Regional Health Services of Howard County | Clinic/Center | 600 Busti Ave, Elma, IA 50628-8090 | 2020-05-29 |
| 1255977740 | Unitypoint Health - Marshalltown | Clinic/Center | 101 E J Ave Ste 120, Grundy Center, IA 50638-2006 | 2019-11-20 |
| 1326690082 | Unity Healthcare | Clinic/Center | 1518 Mulberry Ave Ste 201, Muscatine, IA 52761-3433 | 2019-07-12 |
| 1457825192 | Greene County Medical Center | Clinic/Center | 1000 W Lincoln Way Ste 100, Jefferson, IA 50129-1645 | 2019-01-16 |
| 1427548148 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 1518 Mulberry Ave Ste 202, Muscatine, IA 52761-3433 | 2018-05-17 |
| 1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
| 1659872927 | Henry County Soldiers' and Sailors' Memorial Hospital | Clinic/Center | 227 W Main St Ste 1, Wayland, IA 52654-7615 | 2018-02-22 |
| 1447778170 | Trinity Regional Medical Center | Clinic/Center | 804 Kenyon Rd Ste D, Fort Dodge, IA 50501-5744 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
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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.