Active NPI
MMSC Ventures Inc
- Rural Health Clinic/Center
- Conrad, IA
National Provider Identifier
1437136165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- MMSC VENTURES INC
- Practice address
- 105 N Church St
Conrad, IA 50621-7714 - Phone
- (641) 366-2123
- NPI assigned
- Dec 23, 2005
- Organization subpart
- Yes
- Parent organization
- MMSC VENTURES INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
105 N Church St
Conrad, IA 50621-7714
Mailing address
PO Box 40
Conrad, IA 50621-0040
Phone (641) 366-2123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0634212 | Medicaid | IA |
Other names 1
- Conrad Family Clinic
National Provider Directory
National Provider Directory- Part of
- Tama County Health Plaz
Locations
405 E Main St
Marshalltown, IA 50158
Phone (641) 753-2752
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.
-
- Internal Medicine Physician
- Marshalltown, IA
- NPI 1841391406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228262400000",
"number": "1437136165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "CONRAD",
"state": "IA",
"postal_code": "506210040",
"telephone_number": "641-366-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N CHURCH ST",
"city": "CONRAD",
"state": "IA",
"postal_code": "506217714",
"telephone_number": "641-366-2123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MMSC VENTURES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MMSC VENTURES INC",
"enumeration_date": "2005-12-23",
"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": "0634212",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Conrad Family Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conrad, 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.