Organization Active NPI

Tri-County Community Action, Inc.

  • Voluntary or Charitable Agency
  • Little Falls, MN
National Provider Identifier
1750588976
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Tri-County Community Action Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.