Organization
MMSC VENTURES INC
Active
Parent organization
MMSC VENTURES INC
Other names
Conrad Family Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MMSC VENTURES INC
Authorized official
MR. ROBERT B. COOPER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(641) 754-5145
Entity
Organization
Contact information
Practice address
105 N CHURCH ST, CONRAD, IA 50621-7714
(641) 366-2123
Mailing address
PO BOX 40, CONRAD, IA 50621-0040
(641) 366-2123
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0634212
—
IA
Enumeration date
12/23/2005
Last updated
12/03/2008
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