Provider Demographics
NPI:1912953233
Name:CONCERNED CITIZENS AGAINST VIOLENCE AGAINST WOMEN
Entity Type:Organization
Organization Name:CONCERNED CITIZENS AGAINST VIOLENCE AGAINST WOMEN
Other - Org Name:TURNING POINT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPERIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-382-8988
Mailing Address - Street 1:PO BOX 822
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43301-0822
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 BARKS RD W
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-7304
Practice Address - Country:US
Practice Address - Phone:740-382-8988
Practice Address - Fax:740-382-6554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3395Medicare UPIN