Provider Demographics
NPI:1770786691
Name:NORTH OTTAWA COUNTY COUNCIL ON AGING
Entity type:Organization
Organization Name:NORTH OTTAWA COUNTY COUNCIL ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:RINGELBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-842-9210
Mailing Address - Street 1:18 N. FIFTH ST.
Mailing Address - Street 2:
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417
Mailing Address - Country:US
Mailing Address - Phone:616-842-9210
Mailing Address - Fax:616-842-6110
Practice Address - Street 1:18 N 5TH ST
Practice Address - Street 2:
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-1276
Practice Address - Country:US
Practice Address - Phone:616-842-9210
Practice Address - Fax:616-842-6110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health