Organization
RURAL RESOURCES COMMUNITY ACTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG KNIGHT (EXECUTIVE DIRECTOR)
(509) 684-3932
Entity
Organization
Contact information
Practice address
956 S MAIN ST, COLVILLE, WA 99114-2505
(509) 684-8421
Mailing address
956 S MAIN ST, COLVILLE, WA 99114-2505
(509) 684-8421
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
600478485
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
903892
SSPS - COPES
WA
05
—
9053984
—
WA
Enumeration date
11/21/2006
Last updated
07/28/2017
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