Organization Active NPI

MMSC Ventures Inc

  • Rural Health Clinic/Center
  • Conrad, IA
National Provider Identifier
1437136165
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
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 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

105 N Church St
Conrad, IA 50621-7714

Mailing address

PO Box 40
Conrad, IA 50621-0040
Phone (641) 366-2123

Other identifiers 1

IdentifierTypeStateIssuer
0634212MedicaidIA

Other names 1

  • Conrad Family Clinic Doing business as

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.

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.

Verify at the official NPI Registry.