MERCYONE CENTERVILLE MEDICAL CENTER
NPI 1255484903
Ambulance - Land Transport in Centerville, IA

NPI Status: Active since January 18, 2007

Contact Information

1 SAINT JOSEPH DR
CENTERVILLE, IA
ZIP 52544
Phone: (641) 437-4111
Fax: (641) 437-3422

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  • Organization
  • Ambulance
  • Land Transport
  • Accepts Insurance
  • CLIA Number: 16D0967279
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 11-07-2027

About MERCYONE CENTERVILLE MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Mercyone Centerville Medical Center, a provider established in Centerville, Iowa operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1255484903 assigned on January 2007. The practitioner's primary taxonomy code is 3416L0300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Mercyone Centerville Medical Center. The authorized official of this NPI record is Ms. Pam Young (Business Office Manager)

NPI
1255484903
Provider Legal Name
MERCY MEDICAL CENTER-CENTERVILLE
Other Organization Name
MERCYONE CENTERVILLE MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 SAINT JOSEPH DR CENTERVILLE, IA 52544
Location Phone
(641) 437-4111
Location Fax
(641) 437-3422
Mailing Address
1 SAINT JOSEPH DR CENTERVILLE, IA 52544
Mailing Phone
(641) 437-4111
Mailing Fax
(641) 437-3422
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2007
Last Update Date
04-30-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic 4700 - EPO
  • Bronze Classic 4700 | MercyOne - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | MercyOne - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | MercyOne - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne - EPO
  • Bronze Simple Chronic Care CKM | MercyOne - EPO
  • Bronze Simple Diabetes | MercyOne - EPO
  • Gold Classic Standard - EPO
  • Gold Classic Standard | MercyOne - EPO
  • Gold Elite - EPO
  • Gold Elite | MercyOne - EPO
  • Secure - EPO
  • Secure | MercyOne - EPO
  • Silver Classic - EPO
  • Silver Classic | MercyOne - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard | MercyOne - EPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. PAM YOUNG

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(641) 437-3413

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1255484903MEDICAID (05)IA 
0049098MEDICAID (05)IA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
16D0967279
Facility Type
Rural Health Clinic
Certificate Effective Date
November 08, 2025
Certificate Expiration Date
November 07, 2027
Laboratory Director
DENISE EDDY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mercyone Centerville Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MERCYONE CENTERVILLE MEDICAL CENTER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255484903, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 8 + 8 + 8 + 9 + 0 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1255484903.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Medicare Defined Swing Bed Unit
1 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Nursing Facility/Intermediate Care Facility
1 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Physical Therapist
1 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Nurse Practitioner
1 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Ambulance (Land Transport)
1 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Radiology (Diagnostic Radiology)
1 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Nurse Practitioner (Family)
1 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Nurse Practitioner (Family)
1 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Family Medicine
1 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Clinic/Center (Emergency Care)
1 SAINT JOSEPH DR
CENTERVILLE, IA 52544
General Acute Care Hospital (Critical Access)
1 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Nursing Facility/Intermediate Care Facility
1 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Family Medicine
1 SAINT JOSEPH DR
CENTERVILLE, IA 52544

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255484903, enumerated as an "organization" on January 18, 2007.

The provider is located at 1 SAINT JOSEPH DR CENTERVILLE, IA 52544 and the phone number is (641) 437-4111.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.

The provider might be accepting Accepts: Oscar Insurance Company, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.