Provider Demographics
NPI:1962974188
Name:ROGUE VALLEY COUNCIL OF GOVERNMENTS
Entity type:Organization
Organization Name:ROGUE VALLEY COUNCIL OF GOVERNMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVALLARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-431-3335
Mailing Address - Street 1:PO BOX 3275
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-0011
Mailing Address - Country:US
Mailing Address - Phone:541-664-6674
Mailing Address - Fax:541-664-7927
Practice Address - Street 1:155 N 1ST ST
Practice Address - Street 2:
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502-2011
Practice Address - Country:US
Practice Address - Phone:541-664-6674
Practice Address - Fax:541-664-7927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals