Organization Name: | INTER-COUNTY COMMUNITY COUNCIL |
NPI Number: | 1720457401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHERINE JOHNSON (EXECUTIVE DIRECTOR) |
Mailing Address: | 207 Main Street Oklee |
State: | MN US |
Postal Code: | 56742 |
Phone Number: | 2187965144 |
Fax Number: | 2187965175 |
NPI Enumeration Date: | 09/23/2015 |
NPI Last Update Date: | 09/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |