Creston Medical Clinic, P.C.
LBN: Creston Medical Clinic, P.C.
Creston Medical Clinic, P.C. is an health care organization with primary practice located at 1610 W Townline St Suite 200, Creston IA 50801-1066. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Creston Medical Clinic, P.C. can be contacted via phone (641) 782-2131, or through Mansour, James E via phone (641) 782-2131.
Contact Information
Primary practice address
1610 W Townline St Suite 200
Creston IA 50801-1066
Phone: (641) 782-2131
Fax: (641) 782-6425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1740232842 |
|---|---|
| LBN Legal business name | Creston Medical Clinic, P.C. |
| DBA Doing business as | |
| Authorized official | Mansour, James E Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Oct 2nd, 2007 - about 19 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740232842 | NPPES |
| Iowa | Other | 01353 | WELLMARK BCBS GROUP # |
| Iowa | Other | C54555 | WELLMARK BCBS GROUP # |
| Iowa | Other | 01353 | WELLMARK BCBS GROUP # |
| Iowa | MEDICAID | 0013532 | WELLMARK BCBS GROUP # |
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