Provider Demographics
NPI:1437826013
Name:ECONOMIC ACTION COMMITTEE OF THE GULF COAST
Entity Type:Organization
Organization Name:ECONOMIC ACTION COMMITTEE OF THE GULF COAST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PUSTEJOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-245-6901
Mailing Address - Street 1:PO BOX 1685
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77404-1685
Mailing Address - Country:US
Mailing Address - Phone:979-245-6901
Mailing Address - Fax:979-245-5699
Practice Address - Street 1:904 WHITSON
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:TX
Practice Address - Zip Code:77414
Practice Address - Country:US
Practice Address - Phone:979-245-6901
Practice Address - Fax:979-245-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
No174200000XOther Service ProvidersMeals