Provider Demographics
NPI:1073009841
Name:MMS-GREENE HEALTHCARE LLC
Entity Type:Organization
Organization Name:MMS-GREENE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:MCCALL
Authorized Official - Last Name:STEINKRUGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-823-4531
Mailing Address - Street 1:108 S HIGH ST
Mailing Address - Street 2:
Mailing Address - City:GREENE
Mailing Address - State:IA
Mailing Address - Zip Code:50636-9437
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 S HIGH ST
Practice Address - Street 2:
Practice Address - City:GREENE
Practice Address - State:IA
Practice Address - Zip Code:50636-9450
Practice Address - Country:US
Practice Address - Phone:641-823-4531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MMS-GREENE HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty