CATHOLIC CHARITIES OF THE DIOCESE OF GREEN BAY INC NPI 1376769117

NPI Information

NPI: 1376769117
Provider Name: CATHOLIC CHARITIES OF THE DIOCESE OF GREEN BAY INC

Other Name: CATHOLIC CHARITIES DIOCESE OF GREEN BAY INC

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1825 RIVERSIDE DRIVE
GREEN BAY, WI
ZIP 54305
Phone: (920) 272-8234
Get Directions

CATHOLIC CHARITIES OF THE DIOCESE OF GREEN BAY INC is a mental health (including community mental health center) clinic center in Green Bay, WI. CATHOLIC CHARITIES OF THE DIOCESE OF GREEN BAY INC NPI is 1376769117. The provider is registered as an organization entity type.
The provider Other Name Is Catholic Charities Diocese Of Green Bay Inc.

The provider's business location address is:

1825 RIVERSIDE DRIVE
GREEN BAY, WI
ZIP 54305-825
Phone: (920) 272-8234
Fax: (920) 437-4067

The provider's authorized official is Karmen Lemke .
The authorized official title is Director Of Catholic Charities and has the following contact phone number (920) 272-8226.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 3/19/2024.

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
1	261QM0801X	Clinic/Center	Mental 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
1	42167700	MEDICAID	WISCONSIN

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: 4/28/2024

NPI Synchronization or Removal

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