Provider Demographics
NPI:1073250205
Name:RAVALLI COUNTY COUNCIL ON AGING
Entity Type:Organization
Organization Name:RAVALLI COUNTY COUNCIL ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-363-5690
Mailing Address - Street 1:310 OLD CORVALLIS RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-3127
Mailing Address - Country:US
Mailing Address - Phone:406-363-5690
Mailing Address - Fax:406-363-0401
Practice Address - Street 1:310 OLD CORVALLIS RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-3127
Practice Address - Country:US
Practice Address - Phone:406-363-5690
Practice Address - Fax:406-363-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-18
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No332U00000XSuppliersHome Delivered MealsGroup - Single Specialty
No333300000XSuppliersEmergency Response System CompaniesGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty