Organization Name: | NORTH EAST KINGDOM COMMUNITY ACTION, INC. |
NPI Number: | 1578909560 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOE PATRISSI (EXECUTIVE DIRECTOR) |
Mailing Address: | 70 Main St Newport |
State: | VT US |
Postal Code: | 058555110 |
Phone Number: | 8023347316 |
Fax Number: | 8023345249 |
NPI Enumeration Date: | 05/16/2013 |
NPI Last Update Date: | 05/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |