Organization Active NPI

United Community Action Committee, Inc.

  • Non-emergency Medical Transport (VAN)
  • Ashland, MS
National Provider Identifier
1316413388
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
UNITED COMMUNITY ACTION COMMITTEE, INC.
Practice address
380 Ripley Ave
Ashland, MS 38603-6097
Phone
(662) 224-8912
Fax
(662) 224-8142
NPI assigned
Oct 17, 2018
Last updated
Oct 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Willie Ruth Daugherty
Title
Executive Director
Phone
(662) 224-8912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

380 Ripley Ave
Ashland, MS 38603-6097

Mailing address

PO Box 338
Ashland, MS 38603-0338
Phone (662) 224-8912

Other names 1

  • UCAC, Inc. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1316413388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "ASHLAND",
            "state": "MS",
            "postal_code": "386030338",
            "telephone_number": "662-224-8912",
            "fax_number": "662-224-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 RIPLEY AVE",
            "city": "ASHLAND",
            "state": "MS",
            "postal_code": "386036097",
            "telephone_number": "662-224-8912",
            "fax_number": "662-224-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED COMMUNITY ACTION COMMITTEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-224-8912"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCAC, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.