Organization
MERCY MEDICAL CENTER-CENTERVILLE
Active
Other names
St. Joseph Mercy Hospice
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 52544-8850
(641) 437-4111
Mailing address
1 SAINT JOSEPH DR, CENTERVILLE, IA 52544-9088
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615591
—
IA
01
—
61559
WELLMARK
IA
Enumeration date
05/10/2006
Last updated
03/22/2012
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