Provider Demographics
NPI:1609010784
Name:RURAL COMMUNITY ACTION MINISTRIES
Entity Type:Organization
Organization Name:RURAL COMMUNITY ACTION MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GIL
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-524-5095
Mailing Address - Street 1:81 CHURCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:ME
Mailing Address - Zip Code:04263-3402
Mailing Address - Country:US
Mailing Address - Phone:207-524-5095
Mailing Address - Fax:207-524-2202
Practice Address - Street 1:81 CHURCH HILL RD
Practice Address - Street 2:
Practice Address - City:LEEDS
Practice Address - State:ME
Practice Address - Zip Code:04263-3402
Practice Address - Country:US
Practice Address - Phone:207-524-5095
Practice Address - Fax:207-524-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME167780000Medicaid