1619091469 NPI number — UNITED STATES CATHOLIC CONFERENCE

Table of content: (NPI 1619091469)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619091469 NPI number — UNITED STATES CATHOLIC CONFERENCE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITED STATES CATHOLIC CONFERENCE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CATHOLIC CHARITIES OF MONROE COUNTY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619091469
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/07/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1070 S TELEGRAPH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONROE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48161-4056
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
734-240-3850
Provider Business Mailing Address Fax Number:
734-240-3863

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1070 S TELEGRAPH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONROE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48161-4056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-240-3850
Provider Business Practice Location Address Fax Number:
734-240-3863
Provider Enumeration Date:
03/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
NEITMAN
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
S
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
313-410-8590

Provider Taxonomy Codes

  • Taxonomy code: 251V00000X , with the licence number:  580038 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 125557 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".




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