NPIMap

Organization Active NPI

Salvation Army Adult Day Health Center

  • Adult Day Care Clinic/Center
  • Mason City, IA
National Provider Identifier
1871705046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
AADS502 Issued in IA
Legal business name
SALVATION ARMY ADULT DAY HEALTH CENTER
Practice address
221 19TH St SW
Suite B
Mason City, IA 50401-6655
Phone
(641) 421-2577
Fax
(641) 421-2580
NPI assigned
May 3, 2007
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
Chuck Wright
Title
Corp Officer
Phone
(641) 424-4031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X AADS502 IA Primary

Addresses

Primary practice location

221 19TH St SW
Suite B
Mason City, IA 50401-6655

Mailing address

PO Box 1646
Mason City, IA 50402-1646
Phone (641) 424-4031

Other identifiers 1

IdentifierTypeStateIssuer
0489393MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
The Salvation Army5 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

221 19th St SW
Ste B
Mason City, IA 50401
Phone (641) 421-2577

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871705046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1646",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504021646",
            "telephone_number": "641-424-4031",
            "fax_number": "641-421-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 19TH ST SW",
            "address_2": "SUITE B",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504016655",
            "telephone_number": "641-421-2577",
            "fax_number": "641-421-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATION ARMY ADULT DAY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CORP OFFICER",
        "authorized_official_telephone_number": "641-424-4031"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "IA",
            "license": "AADS502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0489393",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, 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.