Provider Demographics
NPI:1275982951
Name:COMMUNITY ACTION PROGRAM OF EAST CENTRAL OREGON
Entity Type:Organization
Organization Name:COMMUNITY ACTION PROGRAM OF EAST CENTRAL OREGON
Other - Org Name:CAPECO
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KINNAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-276-1926
Mailing Address - Street 1:721 SE 3RD ST STE D
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-3060
Mailing Address - Country:US
Mailing Address - Phone:541-276-1926
Mailing Address - Fax:541-276-7541
Practice Address - Street 1:721 SE 3RD ST STE D
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-3060
Practice Address - Country:US
Practice Address - Phone:541-276-1926
Practice Address - Fax:541-276-7541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR251B00000X, 251X00000X, 253Z00000X, 332U00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
No332U00000XSuppliersHome Delivered Meals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)