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CATHOLIC CHARITIES SERVICES CORPORATION NPI 1659328557


NPI Information

NPI: 1659328557
Provider Name: CATHOLIC CHARITIES SERVICES CORPORATION

Doing Business As: CATHOLIC CHARITIES SERVICES OF WAYNE COUNTY

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
521 BEALL AVE
WOOSTER, OH
ZIP 44691
Phone: (330) 262-7836
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CATHOLIC CHARITIES SERVICES CORPORATION is a mental health (including community mental health center) clinic center in Wooster, OH. CATHOLIC CHARITIES SERVICES CORPORATION NPI is 1659328557. The provider is registered as an organization entity type.
The provider Is Doing Business As Catholic Charities Services Of Wayne County.

The provider's business location address is:

521 BEALL AVE
WOOSTER, OH
ZIP 44691-589
Phone: (330) 262-7836
Fax: (330) 262-2867

The provider's authorized official is Tom Woll .
The authorized official title is Executive Director and has the following contact phone number (440) 843-5501.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 8/22/2020.


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)Yes

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
110041MEDICAIDOHIO

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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