Creston Medical Clinic, P.C. in Creston - Surgery
Creston Medical Clinic, P.C. - NPI 1740232842
Creston Medical Clinic, P.C. is a Surgery in Creston, Iowa. Creston Medical Clinic, P.C. practices all healthcare services and medical treatments related to Surgery. The NPI Number for Creston Medical Clinic, P.C. is 1740232842. The last update date is 2007-10-02.
Creston Medical Clinic, P.C.'s current location address is 1610 W Townline St, Creston, Iowa. You can contact this provider via phone number 6417822131 and fax number 6417826425. The mailing address for Creston Medical Clinic, P.C. is 1610 W Townline St, Creston, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Creston Medical Clinic, P.C. |
|---|---|
| Address | 1610 W Townline St, Creston, Iowa |
| Phone Number | 6417822131 |
| Fax Number | 6417826425 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mansour E James |
| Credentials | M.D. |
| Telephone Number | 6417822131 |
NPI Number Detail
| NPI Number | 1740232842 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2007-10-02 |
Provider Mailing Address Detail
| Address | 1610 W Townline St |
|---|---|
| City | Creston |
| State | Iowa (IA) |
| Post Code | 508011066 |
| Phone Number | 6417822131 |
| Fax Number | 6417826425 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1353 | IA | WELLMARK BCBS GROUP # | |
| C54555 | IA | RAILROAD GROUP BILLING # | |
| 1353 | IA | WELLMARK BCBS # | |
| 13532 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Creston Medical Clinic, P.C. by the Centers for Medicare & Medicaid Services?
The Creston Medical Clinic, P.C. has been assigned the NPI (National Provider Identifier) 1740232842 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Creston Medical Clinic, P.C.?
The Creston Medical Clinic, P.C. is situated at 1610 W Townline St, in the city of Creston, state of IA, with the zip code 508011066.
What is Creston Medical Clinic, P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Creston Medical Clinic, P.C. is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
When did Creston Medical Clinic, P.C. receive its 1740232842 assignment?
The Creston Medical Clinic, P.C. was assigned its 1740232842 on 2006-05-17, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Creston Medical Clinic, P.C. most recently updated or revised?
The information pertaining to Creston Medical Clinic, P.C., including its address, specialty, and other relevant details, was last updated or revised on 2007-10-02.