Healthcare Provider Details

I. General information

NPI: 1356391635
Provider Name (Legal Business Name): MERCY MEDICAL CENTER-CENTERVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SAINT JOSEPH DR
CENTERVILLE IA
52544-9017
US

IV. Provider business mailing address

1 SAINT JOSEPH DR
CENTERVILLE IA
52544-9017
US

V. Phone/Fax

Practice location:
  • Phone: 641-437-4111
  • Fax: 641-437-3422
Mailing address:
  • Phone: 641-437-3410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: NICOLE CLAPP
Title or Position: PRESIDENT - MERCY CENTERVILLE MEDIC
Credential:
Phone: 641-437-3410