Active NPI
North Iowa Community Action Organization
Doing business as Maternal Health Program
- Public Health or Welfare Agency
- Mason City, IA
National Provider Identifier
1083762322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- NORTH IOWA COMMUNITY ACTION ORGANIZATION
- Doing business as
- Maternal Health Program
- Practice address
- 100 1St St NW, Suite 200
North Iowa Community Action Organization
Mason City, IA 50401 - Phone
- (641) 423-5044
- Fax
- (641) 423-0994
- NPI assigned
- Jan 5, 2007
- Last updated
- Jan 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dick Goerdt
- Title
- Executive Director
- Phone
- (641) 423-8993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
100 1St St NW, Suite 200
North Iowa Community Action Organization
Mason City, IA 50401
Mailing address
218 5TH St SW
PO Box 1627
Mason City, IA 50401-3840
Phone (641) 423-8993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013581 | Medicaid | IA |
Other names 1
- Maternal Health Program
National Provider Directory
National Provider Directory- Tax ID family
- North Iowa Community Action Organization
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba North Iowa Dental Clinic for the Uninsured and Underinsured
- Public Health Dentistry
- Mason City, IA
- NPI 1528261278
-
dba Child Health Program
- Public Health or Welfare Agency
- Mason City, IA
- NPI 1174671416
-
- Pharmacy Technician
- Mason City, IA
- NPI 1417004185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294704000000",
"number": "1083762322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 5TH ST SW",
"address_2": "PO BOX 1627",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504013840",
"telephone_number": "641-423-8993",
"fax_number": "641-494-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 1ST ST NW, SUITE 200",
"address_2": "NORTH IOWA COMMUNITY ACTION ORGANIZATION",
"city": "MASON CITY",
"state": "IA",
"postal_code": "50401",
"telephone_number": "641-423-5044",
"fax_number": "641-423-0994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH IOWA COMMUNITY ACTION ORGANIZATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2011-01-11",
"status": "A",
"authorized_official_last_name": "GOERDT",
"authorized_official_first_name": "DICK",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "641-423-8993"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013581",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Maternal Health Program",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mason City, IA
- Megan Jane Noonan-Conlon, RD, LD
- Stephanie Ann Norris, RD, LD
- North East Iowa Senior Care LLC
- North Iowa Anesthesia Associates PC
- North Iowa Commmunity Action Organization (North Iowa Dental Clinic for the Uninsured and Underinsured)
- North Iowa Community Action Organization (Child Health Program)
- North Iowa Community Action Organization
- North Iowa Community Action Organization (Family Planning)
- North Iowa Eye Clinic, P.C. (Village Green Optical)
- North Iowa Eye Clinic, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.