State Center Family Medicine Clinic

LBN: Mmsc Ventures Inc
State Center Family Medicine Clinic is an health care organization with primary practice located at 503 3Rd Ave Sw , State Center IA 50247-7719. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Mmsc Ventures Inc can be contacted via phone (641) 483-2141, or through Downey, Robert L. via phone (641) 754-5125.

Contact Information

Primary practice address
503 3Rd Ave Sw State Center IA 50247-7719
Phone: (641) 483-2141
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Downey, Robert L.
Phone: (641) 754-5125

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1891771663
LBN Legal business name Mmsc Ventures Inc
DBA Doing business as State Center Family Medicine Clinic
Authorized official Downey, Robert L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 22nd, 2005
Last updated Dec 3rd, 2008 - about 17 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 1891771663 NPPES
Iowa MEDICAID 0685214
Iowa Other 47411

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