Provider Demographics
NPI:1467851436
Name:CALHOUN COUNTY SENIOR CITIZENS ASSN., INC.
Entity Type:Organization
Organization Name:CALHOUN COUNTY SENIOR CITIZENS ASSN., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PELECH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-552-3350
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:PORT LAVACA
Mailing Address - State:TX
Mailing Address - Zip Code:77979-0128
Mailing Address - Country:US
Mailing Address - Phone:361-552-3350
Mailing Address - Fax:361-552-6477
Practice Address - Street 1:2104 W AUSTIN ST
Practice Address - Street 2:
Practice Address - City:PORT LAVACA
Practice Address - State:TX
Practice Address - Zip Code:77979-3611
Practice Address - Country:US
Practice Address - Phone:361-552-3350
Practice Address - Fax:361-552-6477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)