Provider Demographics
NPI:1457544967
Name:COMMUNITY ACTION ORGANIZATION OF SCIOTO COUNTY, INC.
Entity Type:Organization
Organization Name:COMMUNITY ACTION ORGANIZATION OF SCIOTO COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL SERVICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-354-7541
Mailing Address - Street 1:PO BOX 1525
Mailing Address - Street 2:433 3RD ST
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-1525
Mailing Address - Country:US
Mailing Address - Phone:740-354-7541
Mailing Address - Fax:740-354-3933
Practice Address - Street 1:433 3RD ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-3811
Practice Address - Country:US
Practice Address - Phone:740-354-7541
Practice Address - Fax:740-354-3933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0833772Medicaid