Mercy Medical Center-Centerville

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MERCY MEDICAL CENTER-CENTERVILLE

Doing business as

St. Joseph Mercy Hospice

Practice address

19898 Saint Joseph Drive
Centerville, IA 52544-8850

Phone

(641) 437-4111

NPI assigned

May 10, 2006

Last updated

Mar 22, 2012By the provider in NPPES

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 2

Other names 1

• St. Joseph Mercy Hospice Doing business as

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1619927993",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19898 SAINT JOSEPH DRIVE",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525448850",
            "telephone_number": "641-437-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER-CENTERVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-03-22",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615591",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "61559",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph Mercy Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Medical Center-Centerville
• Mercy Medical Center-Centerville
• Mercy Medical Center-Centerville (Mercyone Centerville Medical Center)
• Mercy Medical Center-Centerville
• Mercy Medical Center-Centerville (Mercy Medical Clinic)
• Mercy Medical Center-Centerville (Centerville Medical Clinic-Mercy)
• Mercy Medical Center-Centerville
• Amanda Lynn Merry, PHARM D
• Midland Pharmacy, Inc (Medicap Pharmacy)
• Rebecca Lynn Moore, FNP-C

• Community Based Hospice Care Agency in Centerville, IA
• Providers in Centerville, IA by specialty
• Community Based Hospice Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.