Mason City Healthcare

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

170364 Issued in IA

Legal business name

MASON CITY HEALTHCARE

Practice address

222 S Pierce Ave
Mason City, IA 50401-2748

Phone

(641) 423-3355

Fax

(641) 423-7006

NPI assigned

Jun 29, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Richardson

Title

Administrator

Phone

(641) 423-3355

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427055037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S PIERCE AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012748",
            "telephone_number": "641-423-3355",
            "fax_number": "641-423-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S PIERCE AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012748",
            "telephone_number": "641-423-3355",
            "fax_number": "641-423-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON CITY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-423-3355",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "170364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805200",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV#",
            "identifier": "65139",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mason City Clinic P.C.
• Mason City Clinic PC
• Mason City Clinic PC
• Mason City Community School District
• Mason City Endodontics LLP
• Mason City Ia Skilled Nursing Facility LLC
• Mason City Imaging Partners LLC
• Mason City Senior Living Holdings LP
• Mason City Sleep Center LLC
• Shumaila Masood, M.D.

• Skilled Nursing Facility in Mason City, IA
• Providers in Mason City, IA by specialty
• Skilled Nursing Facility in Iowa

• 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.