Organization
MMSC VENTURES INC
Active
Parent organization
MMSC VENTURES INC
Other names
State Center Family Medicine Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MMSC VENTURES INC
Authorized official
MR. ROBERT L. DOWNEY (VICE PRESIDENT OF FINANCE)
(641) 754-5125
Entity
Organization
Contact information
Practice address
503 3RD AVE SW, STATE CENTER, IA 50247-7719
(641) 483-2141
Mailing address
3 SOUTH 4TH AVENUE, MARSHALLTOWN, IA 50158-2998
(641) 754-5151
(641) 754-5181
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0685214
—
IA
01
—
47411
BLUE SHIELD OF IOWA
IA
Enumeration date
12/22/2005
Last updated
12/03/2008
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