Provider Demographics
NPI:1437301827
Name:COMMUNITY ACTION COUNCIL
Entity Type:Organization
Organization Name:COMMUNITY ACTION COUNCIL
Other - Org Name:COMMUNITY ACTION COUNCIL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:SHARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUMWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-438-1100
Mailing Address - Street 1:3020 WILLAMETTE DR NE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516-6266
Mailing Address - Country:US
Mailing Address - Phone:360-438-1100
Mailing Address - Fax:
Practice Address - Street 1:3020 WILLAMETTE DR NE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98516
Practice Address - Country:US
Practice Address - Phone:360-438-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty