Provider Demographics
NPI:1205993664
Name:NORTH IOWA VOCATIONAL CENTER
Entity type:Organization
Organization Name:NORTH IOWA VOCATIONAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PAYROLL BILLING CLERK
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-423-3301
Mailing Address - Street 1:PO BOX 428
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50402-0428
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1225 S HARRISON AVE
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-5668
Practice Address - Country:US
Practice Address - Phone:641-423-3301
Practice Address - Fax:641-424-8681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0179903Medicaid
IA0232801Medicaid