Organization
MERCY MEDICAL CENTER-CENTERVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CLAPP (PRESIDENT)
(641) 437-3410
Entity
Organization
Contact information
Practice address
1 SAINT JOSEPH DR, CENTERVILLE, IA 52544-9088
(641) 437-3413
Mailing address
1 SAINT JOSEPH DR, CENTERVILLE, IA 52544-9088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD4303
MEDICARE RR
IA
Enumeration date
05/10/2006
Last updated
10/21/2024
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