Healthcare Provider Details

I. General information

NPI: 1275982951
Provider Name (Legal Business Name): COMMUNITY ACTION PROGRAM OF EAST CENTRAL OREGON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2016
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 SE 3RD ST STE D
PENDLETON OR
97801-3060
US

IV. Provider business mailing address

211 SE BYERS AVENUE
PENDLETON OR
97801
US

V. Phone/Fax

Practice location:
  • Phone: 541-276-1926
  • Fax: 541-276-7541
Mailing address:
  • Phone: 541-276-1926
  • Fax: 541-276-7541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateOR
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateOR

VIII. Authorized Official

Name: MRS. PAULA HALL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 541-276-1976