# MERCY MEDICAL CENTER-CENTERVILLE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MercyOne Ottumwa Family and Internal Medicine Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093360679
- **Authorized official:** NICOLE CLAPP (PRESIDENT)
- **Authorized official phone:** (641) 437-3410

## Contact information

- **Practice address:** 522 N HANCOCK ST, OTTUMWA, IA 52501-4231
- **Practice address phone:** (641) 683-0800
- **Practice address fax:** (641) 683-0801
- **Mailing address:** 1 SAINT JOSEPH DR, CENTERVILLE, IA 52544-9017
- **Mailing address phone:** (641) 437-3413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/09/2019
- **Last updated:** 10/21/2024