Provider Demographics
NPI:1780409722
Name:SAGINAW COUNTY COMMUNITY ACTION COMMITTEE, INC.
Entity type:Organization
Organization Name:SAGINAW COUNTY COMMUNITY ACTION COMMITTEE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HURLEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSA, CCAP
Authorized Official - Phone:989-753-7741
Mailing Address - Street 1:2824 PERKINS ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-1505
Mailing Address - Country:US
Mailing Address - Phone:989-753-7741
Mailing Address - Fax:989-753-2439
Practice Address - Street 1:2824 PERKINS ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-1505
Practice Address - Country:US
Practice Address - Phone:989-753-7741
Practice Address - Fax:989-753-2439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No251S00000XAgenciesCommunity/Behavioral Health
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health