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: August 02, 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

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
417 S EAST ST
CORYDON, IA 50060
Nurse Practitioner
417 S EAST ST
CORYDON, IA 50060
Family Medicine
417 S EAST ST, SUITE #100
CORYDON, IA 50060
Physician Assistant (Medical)
417 S EAST ST, SUITE #100
CORYDON, IA 50060
Family Medicine
417 S EAST ST
CORYDON, IA 50060
General Acute Care Hospital (Critical Access)
417 S EAST ST
CORYDON, IA 50060
Family Medicine
417 S EAST ST, SUITE #100
CORYDON, IA 50060
Surgery
417 S EAST ST
CORYDON, IA 50060

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.

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 Home State Health and Ambetter from NH Healthy Families and 5 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.