NPIMap

Organization Active NPI

Mid-Iowa Community Action, Inc

  • Community Health Clinic/Center
  • Marshalltown, IA
National Provider Identifier
1790882199
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
MID-IOWA COMMUNITY ACTION, INC
Practice address
1001 S 18TH Ave
Marshalltown, IA 50158-3662
Phone
(641) 752-7162
NPI assigned
Sep 20, 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
Arlene McAtee
Title
Executive Director
Phone
(641) 752-7162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU 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
0051458MedicaidIA
0046425MedicaidIA

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790882199",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-IOWA COMMUNITY ACTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCATEE",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "641-752-7162"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051458",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0046425",
            "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.