Northeast Iowa Community Action Corporation

Primary specialty

Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X

Legal business name

NORTHEAST IOWA COMMUNITY ACTION CORPORATION

Practice address

305 Montgomery St
Decorah, IA 52101-2721

Phone

(563) 382-8436

Fax

(563) 382-5140

NPI assigned

Nov 30, 2006

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Ann Humpal

Title

Executive Director

Phone

(563) 382-8436

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NEICAC Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mini K Locke, PA-C

  • Medical Physician Assistant
  • Decorah, IA
  • NPI 1508913443
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1700953874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MONTGOMERY ST",
            "address_2": "PO BOX 487",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012721",
            "telephone_number": "563-382-8436",
            "fax_number": "563-382-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012721",
            "telephone_number": "563-382-8436",
            "fax_number": "563-382-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST IOWA COMMUNITY ACTION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "HUMPAL",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "563-382-8436",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163949",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEICAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Nicklay, MA LAT CSCS
• Joelle Dee Nielsen, LMHC
• Nordic Chiropractic LLC
• Scott Eric Nordschow, BSN, RN
• North Winneshiek Community School District
• Northeast Iowa Mental Health Center (Northeast Iowa Behavioral Health, Inc.)
• Northland Agency on Aging
• Emily Norton, BSN, RN
• Perry James Numedahl, D.C.
• Roberta Oloughlin

• Non-Surgical Family Planning Clinic/Center in Decorah, IA
• Providers in Decorah, IA by specialty
• Non-Surgical Family Planning Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.