Lower Columbia Community Action Council, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

493049 Issued in WA

Legal business name

LOWER COLUMBIA COMMUNITY ACTION COUNCIL, INC.

Practice address

1526 Commerce Ave
Longview, WA 98632-4102

Phone

(360) 425-3430

Fax

(360) 414-8974

NPI assigned

Feb 8, 2018

Organization subpart

No

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

Authorized official

Name

Ilona Ann Kerby

Title

Executive Director

Phone

(360) 425-3430

Specialties & licenses 1

Addresses

Other names 1

• Lower Columbia CAP Doing business as

Locations

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1851890503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 COMMERCE AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324102",
            "telephone_number": "360-425-3430",
            "fax_number": "360-414-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 COMMERCE AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324102",
            "telephone_number": "360-425-3430",
            "fax_number": "360-414-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER COLUMBIA COMMUNITY ACTION COUNCIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "KERBY",
        "authorized_official_first_name": "ILONA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-425-3430"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "493049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lower Columbia CAP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sergio Lopez, R-AAC, CPSST
• Catherine Lord
• Robert Michael Loren
• Loveland Audiology
• Lower Columbia Ambulatory Surgery Center
• Lower Columbia Eye Clinic Inc PS
• Lower Columbia Eye Clinic Inc PS
• Lower Columbia Head & Neck Associates PC
• Lower Columbia Oral Health
• Lower Columbia Pathologists PS

• Case Management Agency in Longview, WA
• Providers in Longview, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.