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CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC NPI 1013990407


NPI Information

NPI: 1013990407
Provider Name: CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC

Former Legal Business Name: CATHOLIC SOCIAL SERVICES OF THE ARCHDIOCESE OF MILWAUKEE INC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
503 WISCONSIN AVE
SHEBOYGAN, WI
ZIP 53081
Phone: (920) 458-5727
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CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC is a mental health (including community mental health center) clinic center in Sheboygan, WI. CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC NPI is 1013990407. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Catholic Social Services Of The Archdiocese Of Milwaukee Inc.

The provider's business location address is:

503 WISCONSIN AVE
SHEBOYGAN, WI
ZIP 53081-147
Phone: (920) 458-5727
Fax: (920) 458-5826

The provider's authorized official is Julie A Bush .
The authorized official title is Billing Manager and has the following contact phone number (262) 637-8888.

The enumeration date for this NPI number is 11/21/2005 and was last updated on 5/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)1133WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
142128600MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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