NPIMap

Organization Active NPI

North Central Iowa Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sac City, IA
National Provider Identifier
1679014161
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC
Practice address
322 S 13TH St
Sac City, IA 50583-1910
Phone
(800) 482-8305
Fax
(515) 573-7898
NPI assigned
Mar 16, 2017
Organization subpart
Yes
Parent organization
UNITYPOINT HEALTH-TRINITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Diane Oconnor
Title
Bus Services MGR
Phone
(515) 574-8381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

322 S 13TH St
Sac City, IA 50583-1910

Mailing address

720 Kenyon Rd
Fort Dodge, IA 50501-5759
Phone (800) 482-8305

Other identifiers 2

IdentifierTypeStateIssuer
07466OtherIAWELLMARK
0159608MedicaidIA

Other names 1

  • UnityPoint Health-Berryhill Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Central Iowa Mental Health Center Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1679014161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015759",
            "telephone_number": "800-482-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S 13TH ST",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505831910",
            "telephone_number": "800-482-8305",
            "fax_number": "515-573-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITYPOINT HEALTH-TRINITY",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "BUS SERVICES MGR",
        "authorized_official_telephone_number": "515-574-8381"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "07466",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159608",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UnityPoint Health-Berryhill Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sac City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.