Creston Medical Clinic, P.C.

LBN: Creston Medical Clinic, P.C.
Creston Medical Clinic, P.C. is an health care organization with primary practice located at 1610 W Townline St Suite 200, Creston IA 50801-1066. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is 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
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1740232842
LBN Legal business name Creston Medical Clinic, P.C.
DBA Doing business as
Authorized official Mansour, James E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Oct 2nd, 2007 - about 18 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 1740232842 NPPES
Iowa Other 01353 WELLMARK BCBS GROUP #
Iowa Other C54555 WELLMARK BCBS GROUP #
Iowa Other 01353 WELLMARK BCBS GROUP #
Iowa MEDICAID 0013532 WELLMARK BCBS GROUP #

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