Mercy Medical Center-Centerville

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

165564 Issued in IA

Legal business name

MERCY MEDICAL CENTER-CENTERVILLE

Practice address

1 Saint Joseph Dr
Centerville, IA 52544-9088

Phone

(641) 437-4111

NPI assigned

May 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pam Young

Title

Business Office Manager

Phone

(641) 437-3413

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent E. Sullivan, M.D.

  • Surgery Physician
  • Centerville, IA
  • NPI 1750361036
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1265482541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT JOSEPH DR",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525449088",
            "telephone_number": "641-437-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT JOSEPH DR",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525449088",
            "telephone_number": "641-437-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER-CENTERVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "641-437-3413"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "165564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0806703",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Michael McCullen, O.D.
• Linda C McDanolds, ARNP
• Mercy Medical Center-Centerville
• Mercy Medical Center-Centerville
• Mercy Medical Center-Centerville
• Mercy Medical Center-Centerville
• Mercy Medical Center-Centerville
• Mercy Medical Center-Centerville
• Mercy Medical Center-Centerville
• Mercy Medical Center-Centerville

• Nursing Facility/Intermediate Care Facility in Centerville, IA
• Providers in Centerville, IA by specialty
• Nursing Facility/Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.