Provider Demographics
NPI:1467584367
Name:NORTH EAST COMMUNITY ACTION CORP
Entity Type:Organization
Organization Name:NORTH EAST COMMUNITY ACTION CORP
Other - Org Name:FAMILY PLANNING CLINIC & WIC PROGRAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF DEPUTY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ELLISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-324-2231
Mailing Address - Street 1:PO BOX 470
Mailing Address - Street 2:16 NORTH COURT STREET
Mailing Address - City:BOWLING GREEN
Mailing Address - State:MO
Mailing Address - Zip Code:63334
Mailing Address - Country:US
Mailing Address - Phone:573-324-2231
Mailing Address - Fax:573-324-3960
Practice Address - Street 1:120 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:MO
Practice Address - Zip Code:63383
Practice Address - Country:US
Practice Address - Phone:636-456-2933
Practice Address - Fax:636-456-8485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical