Provider Demographics
NPI:1760611222
Name:INTERCULTURAL MUTUAL ASSISTANCE ASSOCIATION
Entity Type:Organization
Organization Name:INTERCULTURAL MUTUAL ASSISTANCE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:BUZARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-289-5960
Mailing Address - Street 1:2500 VALLEYHIGH DRIVE NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901
Mailing Address - Country:US
Mailing Address - Phone:507-289-5960
Mailing Address - Fax:507-289-6199
Practice Address - Street 1:2500 VALLEYHIGH DRIVE NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901
Practice Address - Country:US
Practice Address - Phone:507-289-5960
Practice Address - Fax:507-289-6199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-06
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty