Organization
MID IOWA COMMUNITY ACTION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE MCATEE (EXECUTIVE DIRECTOR)
(641) 752-7162
Entity
Organization
Contact information
Practice address
126 S KELLOGG AVE, SUITE 1, AMES, IA 50010-7030
(515) 956-3312
(515) 956-3310
Mailing address
1001 S 18TH AVE, MARSHALLTOWN, IA 50158-3662
(641) 752-7162
(641) 754-1007
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046425
—
IA
05
—
0051458
—
IA
Enumeration date
10/06/2006
Last updated
08/22/2020
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