Provider Demographics
NPI:1992114474
Name:SOUTH PLAINS COMMUNITY ACTION ASSOCIATION, INC.
Entity type:Organization
Organization Name:SOUTH PLAINS COMMUNITY ACTION ASSOCIATION, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:806-894-6104
Mailing Address - Street 1:PO BOX 610
Mailing Address - Street 2:
Mailing Address - City:LEVELLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79336-0610
Mailing Address - Country:US
Mailing Address - Phone:806-894-6104
Mailing Address - Fax:
Practice Address - Street 1:411 AUSTIN ST
Practice Address - Street 2:
Practice Address - City:LEVELLAND
Practice Address - State:TX
Practice Address - Zip Code:79336-4733
Practice Address - Country:US
Practice Address - Phone:806-894-6104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus