1891022877 NPI number — CATHOLIC HEALTH INITIATIVES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891022877 NPI number — CATHOLIC HEALTH INITIATIVES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CATHOLIC HEALTH INITIATIVES
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:
Provider Other Organization Name Type Code:
6
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:
1891022877
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/11/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7601 OSLER DR
Provider Second Line Business Mailing Address:
AMBULATORY BUILDING, 2ND FLOOR
Provider Business Mailing Address City Name:
TOWSON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21204-7700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-427-2586
Provider Business Mailing Address Fax Number:
410-337-1394

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7601 OSLER DR
Provider Second Line Business Practice Location Address:
AMBULATORY BUILDING, 2ND FLOOR
Provider Business Practice Location Address City Name:
TOWSON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21204-7700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-427-2586
Provider Business Practice Location Address Fax Number:
410-337-1394
Provider Enumeration Date:
11/11/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
OTTO
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
Authorized Official Title or Position:
NATIONAL DIRECTOR
Authorized Official Telephone Number:
410-337-1902

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  090231 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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