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CENTERVILLE MEDICAL CLINIC
NPI 1700835865
Family Medicine in Centerville, IA

Active since May 08, 2006
19876 ST. JOSEPH DRIVE, CENTERVILLE, IA 52544(641) 856-8684 Get Directions Write a Review

NPPES record last updated: July 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centerville Medical Clinic NPPES

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

CENTERVILLE MEDICAL CLINIC (NPI 1700835865) is a healthcare organization registered as a family medicine in Centerville, Iowa and active in the NPI registry since May 2006. The organization lists Kenneth L Fisher, Cfo, as its authorized official.

NPPES Registry Identity

NPI1700835865
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTATE UNIVERSITY OF IOWA
Location Address19876 ST. JOSEPH DRIVECenterville, IA 52544
Mailing Address2941 Sierra Ct SwIowa City, IA 52240-8503 · (319) 337-7642 · Fax (319) 339-1449
Phone(641) 856-8684
Organization SubpartNo
Authorized OfficialKenneth L FisherCfo · (319) 384-2844
Enumeration DateMay 8, 2006
Last NPPES UpdateJuly 7, 2009
✔ NPI 1700835865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
19876 ST. JOSEPH DRIVE, Centerville, IA 52544
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Other Names 1

Doing Business AsCenterville Medical Clinic

Other Identifiers 4

Medicare PINI1416IA
Other33226IA · Wellmark
OtherDA0044IA · Rr Medicare
Medicaid0280339IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 State University Of Iowa's NPI number?

The NPI number for State University Of Iowa is 1700835865. It was assigned to this organization in the NPPES registry on May 8, 2006. The provider is doing business as Centerville Medical Clinic.

Where is State University Of Iowa located?

State University Of Iowa is located at 19876 St. Joseph Drive, Centerville, IA 52544. The listed phone number is (641) 856-8684.

What is State University Of Iowa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for State University Of Iowa was last updated on July 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.