# CHARITON VALLEY MEDICAL CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902868664
- **Authorized official:** MR. STEPHEN S JEWETT MD (OWNER)
- **Authorized official phone:** (641) 437-4344

## Contact information

- **Practice address:** 707 S MAIN, CENTERVILLE, IA 52544-2421
- **Practice address phone:** (641) 437-4344
- **Practice address fax:** (641) 856-5410
- **Mailing address:** PO BOX 100, 707 S MAIN, CENTERVILLE, IA 52544-2421
- **Mailing address phone:** (641) 437-4344
- **Mailing address fax:** (641) 856-5410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01603 | IA | Yes |
| 207Q00000X | Family Medicine Physician | 17554 | IA | — |
| 207Q00000X | Family Medicine Physician | 30574 | IA | — |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 08/22/2020