Provider Demographics
NPI:1033575444
Name:RURAL AIDS ACTION NETWORK
Entity type:Organization
Organization Name:RURAL AIDS ACTION NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-209-1191
Mailing Address - Street 1:300 E SAINT GERMAIN ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56304-0700
Mailing Address - Country:US
Mailing Address - Phone:320-257-3036
Mailing Address - Fax:320-257-3038
Practice Address - Street 1:300 E SAINT GERMAIN ST
Practice Address - Street 2:SUITE 220
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56304-0700
Practice Address - Country:US
Practice Address - Phone:320-257-3036
Practice Address - Fax:320-257-3038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management