Provider Demographics
NPI:1154455012
Name:UNITED COMMUNITY ACTION PROGRAM, INC.
Entity Type:Organization
Organization Name:UNITED COMMUNITY ACTION PROGRAM, INC.
Other - Org Name:CIMARRON PUBLIC TRANSIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ROUTE SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CORFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-718-0456
Mailing Address - Street 1:313 N 4TH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PONCA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:74601-4554
Mailing Address - Country:US
Mailing Address - Phone:580-718-0456
Mailing Address - Fax:
Practice Address - Street 1:313 N 4TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:PONCA CITY
Practice Address - State:OK
Practice Address - Zip Code:74601-4554
Practice Address - Country:US
Practice Address - Phone:580-718-0456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)