Creston Medical Clinic Crnas

LBN: Creston Medical Clinic, P.C.
Creston Medical Clinic Crnas is an health care organization with primary practice located at 1610 W Townline St Suite 200, Creston IA 50801-1066. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty. Creston Medical Clinic, P.C. can be contacted via phone (641) 782-2131, or through Mansour, James E via phone (641) 782-2131.

Contact Information

Primary practice address
1610 W Townline St Suite 200 Creston IA 50801-1066
Phone: (641) 782-2131
Fax: (641) 782-6425
Website:
Map and Directions
Authorized official contact:
Name: Mansour, James E Doctor of Medicine (MD)
Phone: (641) 782-2131

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1316991607
LBN Legal business name Creston Medical Clinic, P.C.
DBA Doing business as Creston Medical Clinic Crnas
Authorized official Mansour, James E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316991607 NPPES
Iowa MEDICAID 0265793
Iowa Other 26579

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