1790041663 NPI number — CATHOLIC CHARITIES OF THE DIOCESE OF HARRISBURG, PA

Table of content: (NPI 1790041663)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790041663 NPI number — CATHOLIC CHARITIES OF THE DIOCESE OF HARRISBURG, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CATHOLIC CHARITIES OF THE DIOCESE OF HARRISBURG, PA
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:
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:
1790041663
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/05/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4800 UNION DEPOSIT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARRISBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17111-3710
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-657-4804
Provider Business Mailing Address Fax Number:
717-657-8683

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
333 NORTH ARCH STREET
Provider Second Line Business Practice Location Address:
SELH ARCH STREET CENTER
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17603-2928
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-299-3659
Provider Business Practice Location Address Fax Number:
717-299-1328
Provider Enumeration Date:
04/05/2012

Additional Information

Authorized Official

Authorized Official Last Name:
TOTARO
Authorized Official First Name:
MARK
Authorized Official Middle Name:
A
Authorized Official Title or Position:
EXECUTIVE DIRECTOR/CEO
Authorized Official Telephone Number:
717-657-4804

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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