Organization 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
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0013581MedicaidIA

Other names 1

  • Maternal Health Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Iowa Community Action Organization4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.