NPIMap

Organization Active NPI

Amador-Tuolumne Community Action Agency

  • Case Management Agency
  • Jackson, CA
National Provider Identifier
1992988414
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AMADOR-TUOLUMNE COMMUNITY ACTION AGENCY
Practice address
935 S Highway 49
Jackson, CA 95642-2673
Phone
(209) 223-1485
Fax
(209) 223-4178
NPI assigned
Dec 6, 2007
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Ms. Shelly Hance
Title
Executive Director
Phone
(209) 533-1397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

935 S Highway 49
Jackson, CA 95642-2673

Mailing address

935 S Highway 49
Jackson, CA 95642-2673
Phone (209) 223-1485

National Provider Directory

National Provider Directory
Tax ID family
Amador-Tuolumne Community Action Agency3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

935 S State Highway 49
Jackson, CA 95642
Phone (209) 223-1485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1992988414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 S HIGHWAY 49",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422673",
            "telephone_number": "209-223-1485",
            "fax_number": "209-223-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 S HIGHWAY 49",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422673",
            "telephone_number": "209-223-1485",
            "fax_number": "209-223-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMADOR-TUOLUMNE COMMUNITY ACTION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "HANCE",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-533-1397",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.