Provider Demographics
NPI:1669826780
Name:TRI COUNTY COMMUNITY ACTION PROGRAM
Entity Type:Organization
Organization Name:TRI COUNTY COMMUNITY ACTION PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL DIRECTOR/INTERIM CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:S
Authorized Official - Last Name:PILOTTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-752-7001
Mailing Address - Street 1:30 EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03570-1911
Mailing Address - Country:US
Mailing Address - Phone:603-752-7001
Mailing Address - Fax:
Practice Address - Street 1:30 EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570
Practice Address - Country:US
Practice Address - Phone:603-752-7001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management