Organization Active NPI

North Iowa Vocational Center

  • Developmentally Disabled Services Day Training Agency
  • Mason City, IA
National Provider Identifier
1205993664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
NORTH IOWA VOCATIONAL CENTER
Practice address
1225 S Harrison Ave
Mason City, IA 50401-5668
Phone
(641) 423-3301
Fax
(641) 424-8681
NPI assigned
Jan 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Brown
Title
Payroll Billing Clerk
Phone
(641) 423-3301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

1225 S Harrison Ave
Mason City, IA 50401-5668

Mailing address

PO Box 428
Mason City, IA 50402-0428

Other identifiers 2

IdentifierTypeStateIssuer
0232801MedicaidIA
0179903MedicaidIA

National Provider Directory

National Provider Directory

Locations

1225 S Harrison Ave
Mason City, IA 50401
Phone (641) 423-3301

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205993664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504020428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S HARRISON AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015668",
            "telephone_number": "641-423-3301",
            "fax_number": "641-424-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IOWA VOCATIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PAYROLL BILLING CLERK",
        "authorized_official_telephone_number": "641-423-3301"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232801",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179903",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.