Provider Demographics
NPI:1356481436
Name:KNO-HO-CO-ASHLAND COMMUNITY ACTION COMMISSION
Entity Type:Organization
Organization Name:KNO-HO-CO-ASHLAND COMMUNITY ACTION COMMISSION
Other - Org Name:KNO-HO-CO-ASHLAND C.A.C.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-622-9801
Mailing Address - Street 1:120 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-1504
Mailing Address - Country:US
Mailing Address - Phone:740-622-9801
Mailing Address - Fax:740-622-0165
Practice Address - Street 1:120 N 4TH ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1504
Practice Address - Country:US
Practice Address - Phone:740-622-9801
Practice Address - Fax:740-622-0165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0269025Medicaid