Matura Action Corporation

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MATURA ACTION CORPORATION

Practice address

203 W Adams St
Creston, IA 50801-3106

Phone

(641) 782-8431

Fax

(641) 782-6287

NPI assigned

Sep 26, 2006

Last updated

Aug 22, 2020By 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

Mary Denise Groves, RN

Title

Wic/MCH Program Director

Phone

(641) 782-8431

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Matura Action Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Matura Action Corporation

  • Public Health or Welfare Agency
  • Creston, IA
  • NPI 1508953084
  NPD tax ID

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932200318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W ADAMS ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508013106",
            "telephone_number": "641-782-8431",
            "fax_number": "641-782-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W ADAMS ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508013106",
            "telephone_number": "641-782-8431",
            "fax_number": "641-782-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATURA ACTION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "WIC/MCH PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "641-782-8431",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0046201",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051581",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Longstaff, RPH
• Pat L. Lowenberg, L.I.S.W.
• Wayne Madden, DC
• James E Mansour, M.D.
• Matura Action Corporation
• Rebecca McCann, NP
• Rebecca I McGuire
• Donald E McKim, OD
• Sally Anne McLuen-Felfhacker, L.I.S.W.
• Norris D Mercure, RPT

• Public Health or Welfare Agency in Creston, IA
• Providers in Creston, IA by specialty
• Public Health or Welfare Agency in Iowa

• 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.