NPIMap

Organization Active NPI

Iowa Central Industries

  • Community/Behavioral Health Agency
  • Fort Dodge, IA
National Provider Identifier
1720157902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IOWA CENTRAL INDUSTRIES
Practice address
127 Avenue M
Fort Dodge, IA 50501-5741
Phone
(515) 576-2126
Fax
(515) 576-2251
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tom Eckman
Title
Executive Director
Phone
(515) 576-2126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

127 Avenue M
Fort Dodge, IA 50501-5741

Mailing address

127 Avenue M
Fort Dodge, IA 50501-5741
Phone (515) 576-2126

Other identifiers 1

IdentifierTypeStateIssuer
0442053MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Iowa Central Industries9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720157902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 AVENUE M",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015741",
            "telephone_number": "515-576-2126",
            "fax_number": "515-576-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 AVENUE M",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015741",
            "telephone_number": "515-576-2126",
            "fax_number": "515-576-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA CENTRAL INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ECKMAN",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "515-576-2126"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442053",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

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.

Verify at the official NPI Registry.