Organization
MERCY MEDICAL CENTER-CENTERVILLE
Active
Other names
Mercy Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
PAM YOUNG (BUSINESS OFFICE MANAGER)
(641) 437-3413
Entity
Organization
Contact information
Practice address
19898 SAINT JOSEPH DRIVE, CENTERVILLE, IA 52544-9088
(641) 437-4111
Mailing address
1 SAINT JOSEPH DRIVE, CENTERVILLE, IA 52544-9088
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0672212
—
IA
01
—
67221
WELLMARK
IA
Enumeration date
05/10/2006
Last updated
03/22/2012
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