Provider Demographics
NPI:1447677406
Name:COMMUNITY ACTION WAYNE/MEDINA
Entity type:Organization
Organization Name:COMMUNITY ACTION WAYNE/MEDINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. VP & CFO
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:S
Authorized Official - Last Name:ACKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-264-8677
Mailing Address - Street 1:2375 BENDEN DR STE B
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2576
Mailing Address - Country:US
Mailing Address - Phone:330-264-8677
Mailing Address - Fax:330-202-7854
Practice Address - Street 1:2375 BENDEN DR STE B
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2576
Practice Address - Country:US
Practice Address - Phone:330-264-8677
Practice Address - Fax:330-202-7854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable