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
- 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
- Code Navigator
Location Map
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.
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 |
|---|---|---|---|
| 1255484903 | MEDICAID (05) | IA | |
| 0049098 | MEDICAID (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.
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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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
CENTERVILLE, IA 52544
CENTERVILLE, IA 52544
CENTERVILLE, IA 52544
CENTERVILLE, IA 52544
CENTERVILLE, IA 52544
CENTERVILLE, IA 52544
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.