Organization Active NPI

MMSC Ventures Inc

Doing business as Tama Medical Center

  • Rural Health Clinic/Center
  • Toledo, IA
National Provider Identifier
1316924848
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MMSC VENTURES INC
Doing business as
Tama Medical Center
Practice address
1307 S Broadway St
Toledo, IA 52342-2307
Phone
(641) 484-4449
NPI assigned
Dec 27, 2005
Last updated
Dec 3, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MMSC VENTURES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert B. Cooper
Title
President & Chief Executive Officer
Phone
(641) 754-5145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1307 S Broadway St
Toledo, IA 52342-2307

Mailing address

1307 S Broadway St
Toledo, IA 52342-2307
Phone (641) 484-4449

Other identifiers 1

IdentifierTypeStateIssuer
0634394MedicaidIA

Other names 1

  • Tama Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tama County Health Plaz2 organizations share this tax ID, including this one
Part of
Tama County Health Plaz

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1307 S Broadway St
Toledo, IA 52342
Phone (641) 484-5253

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1316924848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 S BROADWAY ST",
            "city": "TOLEDO",
            "state": "IA",
            "postal_code": "523422307",
            "telephone_number": "641-484-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 S BROADWAY ST",
            "city": "TOLEDO",
            "state": "IA",
            "postal_code": "523422307",
            "telephone_number": "641-484-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMSC VENTURES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MMSC VENTURES INC",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "641-754-5145",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0634394",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tama Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.