Healthcare Provider Details

I. General information

NPI: 1992580237
Provider Name (Legal Business Name): OKANOGAN COUNTY COMMUNITY ACTION COUNCIL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 2ND AVE S
OKANOGAN WA
98840-9000
US

IV. Provider business mailing address

PO BOX 1067
OKANOGAN WA
98840-1067
US

V. Phone/Fax

Practice location:
  • Phone: 509-422-4041
  • Fax: 509-826-7339
Mailing address:
  • Phone: 509-422-4041
  • Fax: 509-826-7339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. RITA RAY BACHAND
Title or Position: ADMIN & FINANCE DIRECTOR
Credential:
Phone: 509-422-4041