Active NPI
Tri-County Community Action, Inc.
- Voluntary or Charitable Agency
- Little Falls, MN
National Provider Identifier
1750588976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- TRI-COUNTY COMMUNITY ACTION, INC.
- Practice address
- 501 Lemieur St
Little Falls, MN 56345-3367 - Phone
- (320) 632-3691
- Fax
- (320) 632-3695
- NPI assigned
- Jun 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry O. Ketchum, MSW
- Title
- Director of Operations
- Phone
- (320) 632-3691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
501 Lemieur St
Little Falls, MN 56345-3367
Mailing address
501 Lemieur St
Little Falls, MN 56345-3367
Phone (320) 632-3691
Other names 1
- Tri-County Community Action Program, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Tri-County Community Action Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Little Falls, MN
- NPI 1093547770
Locations
501 Lemieur St
Little Falls, MN 56345
Phone (320) 632-0573
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Health Educator
- Little Falls, MN
- NPI 1417304833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750588976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 LEMIEUR ST",
"city": "LITTLE FALLS",
"state": "MN",
"postal_code": "563453367",
"telephone_number": "320-632-3691",
"fax_number": "320-632-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 LEMIEUR ST",
"city": "LITTLE FALLS",
"state": "MN",
"postal_code": "563453367",
"telephone_number": "320-632-3691",
"fax_number": "320-632-3695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-COUNTY COMMUNITY ACTION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KETCHUM",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "320-632-3691",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tri-County Community Action Program, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Little Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.