MERCY MEDICAL CENTER-CENTERVILLE (NPI# 1679700173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679700173 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER-CENTERVILLE |
| Other Organization Name | CENTERVILLE MEDICAL CLINIC-MERCY |
| Practice Address |
19876 St. Joseph's Drive Centerville IA 52544 |
| Practice Telephone | 6418568684 |
| Mailing Telephone | 6418568684 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2010-06-09 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTAN | IB1441 | 01 |
| Other Name | Type Code |
|---|---|
| Centerville Medical Clinic-Mercy | 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 |
| 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 |
19876 ST. JOSEPH'S DRIVE |
| City | CENTERVILLE |
| State | IA |
| Zip Code | 52544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558529206 | Mercy Medical Center-centerville | Clinic/Center | 19876 St. Joseph's Drive, Centerville, IA 52544 | 2008-05-29 |
| 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 |
| 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 |
| 1033177076 | Richard Charles Eckles | Chiropractor | 717 N. 18th St., Suite 6, Centerville, IA 52544 | 2006-05-01 |
| Find all providers in zip 52544 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841746682 | Care Bridge Practitioners of Dayton, LLC | Family Medicine | 1217 F Lyons Rd, Centerville, OH 45458-1858 | 2016-08-31 |
| 1396158440 | Paul Allen Chiles | Family Medicine | 5 Kamholz Rd, Centerville, WA 98613 | 2014-06-06 |
| 1831518323 | Paul Anthony Krebs | Family Medicine | 2350 Miami Valley Dr Ste 320, Centerville, OH 45459-4778 | 2014-04-10 |
| 1912257718 | Sabiha T. Siddiqui, LLC | Family Medicine | 10775 Falls Creek Ln, Centerville, OH 45458-6063 | 2012-09-19 |
| 1508153289 | Taj A Rashid Md Inc | Family Medicine | 1500 Yankee Park Pl, Centerville, OH 45458-1878 | 2011-07-01 |
| 1326174095 | Steven C. Lore, M.d., P.l.l.c. | Family Medicine | 1439 N 400 W, Centerville, UT 84014-1127 | 2007-02-26 |
| 1144300377 | John Crocker | Family Medicine | 366 Simcoe Mt. Road, Centerville, WA 98613 | 2006-10-16 |
| 1518054337 | Christopher James Sesslar | Family Medicine | 6627 Centerville Business Pkwy, Centerville, OH 45459-2655 | 2006-10-05 |
| 1881633386 | Paul Brammer | Family Medicine | 2350 Miami Valley Drive, Suite 530, Centerville, OH 45459-2786 | 2006-06-06 |
| 1700835865 | State University of Iowa | Family Medicine | 19876 St. Joseph Drive, Centerville, IA 52544 | 2006-05-08 |
| 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.