Provider Demographics
NPI:1750588976
Name:TRI-COUNTY COMMUNITY ACTION, INC.
Entity type:Organization
Organization Name:TRI-COUNTY COMMUNITY ACTION, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:O
Authorized Official - Last Name:KETCHUM
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:320-632-3691
Mailing Address - Street 1:501 LEMIEUR ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-3367
Mailing Address - Country:US
Mailing Address - Phone:320-632-3691
Mailing Address - Fax:320-632-3695
Practice Address - Street 1:501 LEMIEUR ST
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-3367
Practice Address - Country:US
Practice Address - Phone:320-632-3691
Practice Address - Fax:320-632-3695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable