Organization
MERCY MEDICAL CENTER-CENTERVILLE
Active
Other names
MercyOne Ottumwa Family and Internal Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CLAPP (PRESIDENT)
(641) 437-3410
Entity
Organization
Contact information
Practice address
522 N HANCOCK ST, OTTUMWA, IA 52501-4231
(641) 683-0800
(641) 683-0801
Mailing address
1 SAINT JOSEPH DR, CENTERVILLE, IA 52544-9017
(641) 437-3413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
08/09/2019
Last updated
10/21/2024
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