Organization
MERCY MEDICAL CENTER-CENTERVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM YOUNG (BUSINESS OFFICE MANAGER)
(641) 437-3413
Entity
Organization
Contact information
Practice address
1 SAINT JOSEPH DR, CENTERVILLE, IA 52544-9088
(641) 437-4111
Mailing address
1 SAINT JOSEPH DR, CENTERVILLE, IA 52544-9088
(641) 437-4111
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
165564
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0806703
—
IA
Enumeration date
05/10/2006
Last updated
12/11/2007
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