Provider Demographics
NPI:1750631206
Name:COMMUNITY ACTION PARTNERSHIP
Entity Type:Organization
Organization Name:COMMUNITY ACTION PARTNERSHIP
Other - Org Name:AREA AGENCY ON AGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:STODDARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-798-4207
Mailing Address - Street 1:124 NEW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ID
Mailing Address - Zip Code:83501-2133
Mailing Address - Country:US
Mailing Address - Phone:208-743-5580
Mailing Address - Fax:208-746-5456
Practice Address - Street 1:124 NEW 6TH ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ID
Practice Address - Zip Code:83501-2133
Practice Address - Country:US
Practice Address - Phone:208-743-5580
Practice Address - Fax:208-746-5456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies