Organization
UNITED COMMUNITY ACTION NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEAL FIELDMAN (EXECUTIVE DIRECTOR)
(541) 672-3421
Entity
Organization
Contact information
Practice address
280 NE KENNETH FORD DR, ROSEBURG, OR 97470-1034
(541) 492-3508
Mailing address
280 NE KENNETH FORD DR, ROSEBURG, OR 97470-1034
(541) 492-3508
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500669799
—
OR
Enumeration date
03/05/2014
Last updated
11/13/2015
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