Centerville Medical Clinic-Mercy

LBN: Mercy Medical Center-Centerville
Centerville Medical Clinic-Mercy is an health care organization with primary practice located at 19876 St. Joseph'S Drive , Centerville IA 52544. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mercy Medical Center-Centerville can be contacted via phone (641) 856-8684, or through Young, Pam via phone (641) 437-3413.

Contact Information

Primary practice address
19876 St. Joseph'S Drive Centerville IA 52544
Fax:
Website:
Authorized official contact:
Name: Young, Pam

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1679700173
LBN Legal business name Mercy Medical Center-Centerville
DBA Doing business as Centerville Medical Clinic-Mercy
Authorized official Young, Pam
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2009
Last updated Jun 9th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679700173 NPPES
Other IB1441 PTAN

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