| Centerville Medical Clinic-mercy | |
|
19876 St. Joseph's Drive Centerville IA 52544 | |
| (641) 856-8684 | |
| Not Available |
| Full Name | Centerville Medical Clinic-mercy |
|---|---|
| Speciality | Family Medicine |
| Location | 19876 St. Joseph's Drive, Centerville, Iowa |
| Authorized Official Name and Position | Pam Young (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 6414373413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerville Medical Clinic-mercy 19876 St. Joseph's Drive Centerville IA 52544 Ph: (641) 856-8684 | Centerville Medical Clinic-mercy 19876 St. Joseph's Drive Centerville IA 52544 Ph: (641) 856-8684 |
| NPI Number | 1679700173 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 06/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679700173 | NPI | - | NPPES |
| IB1441 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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