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CHARITON VALLEY MEDICAL CENTER PC
NPI 1902868664
Family Medicine in Centerville, IA

Active since April 06, 2006CLIA 16D0387170 · Microscopy
707 S MAIN, CENTERVILLE, IA 52544(641) 437-4344(641) 856-5410 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chariton Valley Medical Center Pc NPPES

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

CHARITON VALLEY MEDICAL CENTER PC (NPI 1902868664) is a healthcare organization registered as a family medicine in Centerville, Iowa and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Stephen S Jewett, Owner, as its authorized official.

NPPES Registry Identity

NPI1902868664
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHARITON VALLEY MEDICAL CENTER PC
Location Address707 S MAINCenterville, IA 52544-2421
Mailing AddressPo Box 100, 707 S MainCenterville, IA 52544-2421 · (641) 437-4344 · Fax (641) 856-5410
Phone(641) 437-4344
Fax(641) 856-5410
Organization SubpartNo
Authorized OfficialStephen S JewettOwner · (641) 437-4344
Enumeration DateApril 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902868664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IA · 01603✔ Licensed in IA · 17554✔ Licensed in IA · 30574
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.
707 S MAIN, Centerville, IA 52544
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Other Identifiers 3

Medicaid0024141IA
Medicaid1110031IA
Medicaid3130443IA

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chariton Valley Medical Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Chariton Valley Medical Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kathleen Lange, M.D.
Family Practice
NPI 1811085848
707 S MAIN ST
Centerville, IA 52544
(641) 437-4344
✔ PECOS✔ Accepts MedicareSame address

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

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) 16D0387170

Chariton Valley Medical Center · Centerville, IA
Active · expires Aug 31, 2028
CLIA Number16D0387170
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorKathleen Lange
Laboratory Phone(641) 437-4344
Laboratory LocationChariton Valley Medical Center707 South Main, Centerville, IA 52544
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.

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 Chariton Valley Medical Center PC's NPI number?

The NPI number for Chariton Valley Medical Center PC is 1902868664. It was assigned to this organization in the NPPES registry on April 6, 2006.

Where is Chariton Valley Medical Center PC located?

Chariton Valley Medical Center PC is located at 707 S Main, Centerville, IA 52544. The listed phone number is (641) 437-4344.

What is Chariton Valley Medical Center PC's specialty?

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

Is Chariton Valley Medical Center PC enrolled in Medicare?

Yes. Chariton Valley Medical Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chariton Valley Medical Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Chariton Valley Medical Center PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Chariton Valley Medical Center PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 16D0387170) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chariton Valley Medical Center PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.