Active NPI
MMSC Ventures Inc
- Rural Health Clinic/Center
- State Center, IA
National Provider Identifier
1891771663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- MMSC VENTURES INC
- Practice address
- 503 3Rd Ave SW
State Center, IA 50247-7719 - Phone
- (641) 483-2141
- NPI assigned
- Dec 22, 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 L. Downey
- Title
- Vice President of Finance
- Phone
- (641) 754-5125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
503 3Rd Ave SW
State Center, IA 50247-7719
Mailing address
3 South 4TH Avenue
Marshalltown, IA 50158-2998
Phone (641) 754-5151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0685214 | Medicaid | IA | |
| 47411 | Other | IA | BLUE SHIELD OF IOWA |
Other names 1
- State Center Family Medicine Clinic
National Provider Directory
National Provider Directory- Part of
- Tama County Health Plaz
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": "1135209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228262400000",
"number": "1891771663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SOUTH 4TH AVENUE",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501582998",
"telephone_number": "641-754-5151",
"fax_number": "641-754-5181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 3RD AVE SW",
"city": "STATE CENTER",
"state": "IA",
"postal_code": "502477719",
"telephone_number": "641-483-2141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MMSC VENTURES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MMSC VENTURES INC",
"enumeration_date": "2005-12-22",
"last_updated": "2008-12-03",
"status": "A",
"authorized_official_last_name": "DOWNEY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
"authorized_official_telephone_number": "641-754-5125",
"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": "0685214",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF IOWA",
"identifier": "47411",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "State Center Family Medicine Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in State Center, 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.