# MERCY MEDICAL CENTER-CENTERVILLE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centerville Medical Clinic-Mercy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679700173
- **Authorized official:** PAM YOUNG (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (641) 437-3413

## Contact information

- **Practice address:** 19876 ST. JOSEPH'S DRIVE, CENTERVILLE, IA 52544
- **Practice address phone:** (641) 856-8684
- **Mailing address:** 19876 ST. JOSEPH'S DRIVE, CENTERVILLE, IA 52544
- **Mailing address phone:** (641) 856-8684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2009
- **Last updated:** 06/09/2010