Provider Demographics
NPI:1467693291
Name:NORTHEAST KINGDOM COMMUNITY ACTION, INC.
Entity Type:Organization
Organization Name:NORTHEAST KINGDOM COMMUNITY ACTION, INC.
Other - Org Name:NEKCA HEALTHY BABIES - NEWPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT DIRECTOR OF FINANCE & ADM
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-334-7316
Mailing Address - Street 1:PO BOX 346
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:VT
Mailing Address - Zip Code:05855-0346
Mailing Address - Country:US
Mailing Address - Phone:802-334-7316
Mailing Address - Fax:802-334-5249
Practice Address - Street 1:32 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-2166
Practice Address - Country:US
Practice Address - Phone:802-334-4072
Practice Address - Fax:802-334-4079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare