SOUTH CENTRAL IOWA MEDICAL CLINIC
NPI 1104125822
Clinic/Center - Rural Health in Corydon, IA

Active since March 21, 2011CLIA Certified · 2 labs
417 S EAST ST, SUITE 100, CORYDON, IA 50060(641) 872-2063(641) 872-2070 Get Directions Write a Review

NPPES record last updated: November 21, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Central Iowa Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH CENTRAL IOWA MEDICAL CLINIC (NPI 1104125822) is a healthcare organization registered as a rural health in Corydon, Iowa and active in the NPI registry since March 2011. The organization holds 2 active CLIA laboratory certificates and lists Daren L Relph, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1104125822
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWAYNE COUNTY HOSPITAL
Location Address417 S EAST ST, SUITE 100Corydon, IA 50060-1860
Mailing AddressPo Box 305Corydon, IA 50060-0305 · (641) 872-5351 · Fax (641) 872-3116
Fax(641) 872-2070
Organization SubpartNo
Authorized OfficialDaren L RelphChief Executive Officer · (641) 872-2260
Enumeration DateMarch 21, 2011
Last NPPES UpdateNovember 21, 2017
✔ NPI 1104125822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
417 S EAST ST, Corydon, IA 50060

Other Names 1

Doing Business AsSouth Central Iowa Medical Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Central Iowa Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

61

Medicare enrollment records show 61 clinicians reassign Medicare billing to South Central Iowa Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Certified Registered Nurse Anesthetist (CRNA)23
Nurse Practitioner14
Family Practice11
General Surgery5
Medical Oncology2
Anesthesiology1
Cardiovascular Disease (Cardiology)1
Certified Nurse Midwife (CNM)1
3 other specialties3

Nearest to this location (20)

See all 61
Nurse Practitioner
NPI 1801484266
417 S EAST ST
Corydon, IA 50060
(641) 872-2260
✔ PECOS✔ Accepts Medicare1.7 mi
Family Practice
NPI 1114488244
417 S EAST ST
Corydon, IA 50060
(408) 410-4331
✔ PECOS✔ Accepts Medicare11 mi
Certified Nurse Midwife (CNM)
NPI 1609174002
417 S EAST ST
Corydon, IA 50060
(641) 872-2063
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1649880451
417 S EAST ST
Corydon, IA 50060
(641) 872-2063
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1275513301
417 S. EAST ST.
Corydon, IA 50060
(641) 872-2063
✔ PECOS11 mi
Orthopedic Surgery
NPI 1760638852
417 S EAST ST
Corydon, IA 50060
(641) 872-2260
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1114568870
417 S EAST ST
Corydon, IA 50060
(641) 872-2260
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1649444118
417 S EAST ST
Corydon, IA 50060
(641) 872-2063
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1699238931
417 S EAST ST
Corydon, IA 50060
(641) 872-2260
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1902974538
515 W WALL ST
Seymour, IA 52590
(641) 898-2898
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1467925388
101 MAIN STREET
Lineville, IA 50147
(641) 876-2070
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1003268228
101 MAIN STREET
Lineville, IA 50147
(641) 876-2070
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1972867810
19942 SAINT JOSEPH DR
Centerville, IA 52544
(641) 856-8684
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1811455934
1926 OAK ST
Unionville, MO 63565
(660) 947-2411
✔ PECOS✔ Accepts Medicare26 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699854877
20955 S23 HWY
Lacona, IA 50139
(515) 229-3393
✔ PECOS31 mi
Obstetrics/Gynecology
NPI 1750359147
1212 PLEASANT ST SUITE 405
Des Moines, IA 50309
(515) 243-8842
✔ PECOS✔ Accepts Medicare58 mi
Family Practice
NPI 1285712497
250 LAUREL ST
Des Moines, IA 50314
(515) 643-4610
✔ PECOS✔ Accepts Medicare59 mi
Cardiovascular Disease (Cardiology)
NPI 1255319596
411 LAUREL ST STE A250
Des Moines, IA 50314
(515) 235-5000
✔ PECOS✔ Accepts Medicare59 mi
General Surgery
NPI 1255303400
411 LAUREL ST STE 3300
Des Moines, IA 50314
(515) 643-6400
✔ PECOS✔ Accepts Medicare59 mi
Medical Oncology
NPI 1295747624
411 LAUREL ST STE A300
Des Moines, IA 50314
(515) 282-2921
✔ PECOS✔ Accepts Medicare59 mi
See all 61 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 16D0382708

South Central Iowa Medical Clinic · Corydon, IA
Active · expires Feb 16, 2028
CLIA Number16D0382708
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorRyan Arenvik
Laboratory Phone(641) 872-2063
Laboratory LocationSouth Central Iowa Medical Clinic417 South East Street Suite 100, Corydon, IA 50060
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 16D2139888

Wayne County Hospital Specialty Clinic · Corydon, IA
Active · expires Nov 9, 2027
CLIA Number16D2139888
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorEarle M. Pescatore
Laboratory Phone(641) 872-5259
Laboratory LocationWayne County Hospital Specialty Clinic417 S East Street, Corydon, IA 50060
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayne County Hospital's NPI number?

The NPI number for Wayne County Hospital is 1104125822. It was assigned to this organization in the NPPES registry on March 21, 2011. The provider is doing business as South Central Iowa Medical Clinic.

Where is Wayne County Hospital located?

Wayne County Hospital is located at 417 S East St Suite 100, Corydon, IA 50060. The listed phone number is (641) 872-2063.

What is Wayne County Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Wayne County Hospital enrolled in Medicare?

Yes. Wayne County Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wayne County Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 61 clinicians in 11 Medicare specialties reassign their Medicare billing to Wayne County Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (23), Nurse Practitioner (14) and Family Practice (11). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wayne County Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Wayne County Hospital accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 4 other insurers list Wayne County Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wayne County Hospital was last updated on November 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.