Provider Demographics
NPI:1912729534
Name:UNITED COMMUNITY ACTION NETWORK
Entity type:Organization
Organization Name:UNITED COMMUNITY ACTION NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH AND WELLNESS
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAY-WEIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-440-3643
Mailing Address - Street 1:251 NE GARDEN VALLEY BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-1495
Mailing Address - Country:US
Mailing Address - Phone:800-301-8226
Mailing Address - Fax:
Practice Address - Street 1:280 NE KENNETH FORD DR
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-1034
Practice Address - Country:US
Practice Address - Phone:541-440-3516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management