Provider Demographics
NPI:1528184967
Name:HAWKEYE AREA COMMUNITY ACTION PROGRAM INC
Entity Type:Organization
Organization Name:HAWKEYE AREA COMMUNITY ACTION PROGRAM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO CFO
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:W
Authorized Official - Last Name:MANICCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-393-7811
Mailing Address - Street 1:1515 HAWKEYE DR
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233-1102
Mailing Address - Country:US
Mailing Address - Phone:319-393-7811
Mailing Address - Fax:319-393-6263
Practice Address - Street 1:1515 HAWKEYE DR
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-1102
Practice Address - Country:US
Practice Address - Phone:319-393-7811
Practice Address - Fax:319-393-6263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0134916Medicaid