Provider Demographics
NPI:1265026249
Name:YORK COUNTY COMMUNITY ACTION CORP
Entity Type:Organization
Organization Name:YORK COUNTY COMMUNITY ACTION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAURENDEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-324-5762
Mailing Address - Street 1:6 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04073-2917
Mailing Address - Country:US
Mailing Address - Phone:207-490-6900
Mailing Address - Fax:207-324-0546
Practice Address - Street 1:357 ELM ST
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-3022
Practice Address - Country:US
Practice Address - Phone:207-490-6900
Practice Address - Fax:207-324-0546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)