Active NPI
North Iowa Transition Center
- Mental Illness Community Based Residential Treatment Facility
- Mason City, IA
National Provider Identifier
1679652960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- RCFPMI 501
- Legal business name
- NORTH IOWA TRANSITION CENTER
- Practice address
- 408 1St St NW
Mason City, IA 50401-3004 - Phone
- (641) 424-8708
- NPI assigned
- Nov 6, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Connie Bleile, LISW
- Title
- Executive Director
- Phone
- (641) 424-8708
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | RCFPMI 501 | IA | Primary |
Addresses
Primary practice location
408 1St St NW
Mason City, IA 50401-3004
Mailing address
PO Box 1503
Mason City, IA 50402-1503
Phone (641) 424-8708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0892612 | Medicaid | IA |
National Provider Directory
National Provider Directory- Tax ID family
- North Iowa Transition Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Mason City, IA
- NPI 1578634143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679652960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1503",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504021503",
"telephone_number": "641-424-8708",
"fax_number": "641-421-7809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 1ST ST NW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504013004",
"telephone_number": "641-424-8708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH IOWA TRANSITION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BLEILE",
"authorized_official_first_name": "CONNIE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "641-424-8708",
"authorized_official_credential": "LISW"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "IA",
"license": "RCFPMI 501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0892612",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mason City, IA
- North Iowa Mercy Clinics (MercyOne North Iowa Family and Sports Medicine)
- North Iowa Mercy Clinics (MercyOne Mason City Pediatric & Adolescent Clinic)
- North Iowa Oral Surgery and Dental Implant Center, LLP
- North Iowa Sleep Lab
- North Iowa Transition Center
- North Iowa Vocational Center
- Nucara Long Term Care Pharmacy, LLC (NuCara Pharmacy # 18)
- Esra Nusseibeh, PHARMD
- Corey O'Connor
- Sara Jo O'Tool, R.D., L.D.
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.