NPIMap

Organization Active NPI

North Iowa Community Action Organization

  • Pharmacy Technician
  • Mason City, IA
National Provider Identifier
1417004185
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
Legal business name
NORTH IOWA COMMUNITY ACTION ORGANIZATION
Doing business as
North Iowa Community Action Organization
Practice address
100 1St St NW, Suite 200
Mason City, IA 50401
Phone
(641) 423-5044
Fax
(641) 423-0994
NPI assigned
Jan 4, 2007
Last updated
Nov 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 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
Pharmacy Technician 183700000X NU Primary

Addresses

Primary practice location

100 1St St NW, Suite 200
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
1621944OtherIANCPDP

Other names 1

  • North Iowa Community Action Organization 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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1417004185",
    "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",
            "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": "2007-01-04",
        "last_updated": "2011-11-21",
        "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": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1621944",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Iowa Community Action Organization",
            "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 Nov 21, 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.