NPIMap

Organization Active NPI

Mid Iowa Community Action Inc

  • Dental Hygienist
  • Marshalltown, IA
National Provider Identifier
1740362953
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
MID IOWA COMMUNITY ACTION INC
Practice address
1001 S 18TH Ave
Marshalltown, IA 50158-3662
Phone
(641) 752-7162
Fax
(641) 754-1007
NPI assigned
Oct 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Arlee McAtee
Title
Executive Director
Phone
(641) 752-7162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

1001 S 18TH Ave
Marshalltown, IA 50158-3662

Mailing address

1001 S 18TH Ave
Marshalltown, IA 50158-3662
Phone (641) 752-7162

Other identifiers 2

IdentifierTypeStateIssuer
0046425MedicaidIA
0051458MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Mid Iowa Community Action Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1001 S 18th Ave
Marshalltown, IA 50158
Phone (641) 752-7162

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740362953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S 18TH AVE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501583662",
            "telephone_number": "641-752-7162",
            "fax_number": "641-754-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S 18TH AVE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501583662",
            "telephone_number": "641-752-7162",
            "fax_number": "641-754-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID IOWA COMMUNITY ACTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCATEE",
        "authorized_official_first_name": "ARLEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "641-752-7162"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0046425",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051458",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, 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.