Provider Demographics
NPI:1427604974
Name:CENTRAL COMMUNITY TRANSIT JOINT POWERS BOARD
Entity Type:Organization
Organization Name:CENTRAL COMMUNITY TRANSIT JOINT POWERS BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-222-7974
Mailing Address - Street 1:PO BOX 186
Mailing Address - Street 2:
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-0186
Mailing Address - Country:US
Mailing Address - Phone:320-222-7974
Mailing Address - Fax:320-214-7754
Practice Address - Street 1:1320 22ND ST SW
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-2780
Practice Address - Country:US
Practice Address - Phone:320-222-7974
Practice Address - Fax:320-214-7754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus