CATHOLIC CHARITIES OF THE DIOCESE OF HARRISBURG PA INC - NPI NUMBER 1457402265

Summary

Provider Name: CATHOLIC CHARITIES OF THE DIOCESE OF HARRISBURG PA INC

NPI Number: 1457402265

Clasification: Clinic/Center (261Q00000X)

Address:
533 SOUTH MAIN
CHAMBERSBURG, PA
ZIP 17201

Phone Number: (717) 657-4804



Detailed Information

CATHOLIC CHARITIES OF THE DIOCESE OF HARRISBURG PA INC is a clinic/center in Chambersburg, PA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). The assigned NPI number for this provider is 1457402265 and is registered as an organization entity type.

The provider's business address is:

533 SOUTH MAIN
CHAMBERSBURG, PA
ZIP 17201-505
Phone: (717) 657-4804
Fax: (717) 657-8683

The provider's authorized official is Mark A Totaro .
The authorized official title is Executive Director Ceo and has the following contact phone number (717) 657-4804.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 7/9/2007.

Map - Location of Practice

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Taxonomy Codes

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 261Q00000X Clinic/Center 309960 PA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 0018539060003 MEDICAID PA

NPI Record

No. Field Name Field Value
1 NPI 1457402265
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name CATHOLIC CHARITIES OF THE DIOCESE OF HARRISBURG PA INC
5 Provider First Line Business Practice Location Address 533 SOUTH MAIN
6 Provider Business Practice Location Address City Name CHAMBERSBURG
7 Provider Business Practice Location Address State Name PA
8 Provider Business Practice Location Address Postal Code 172013505
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 7176574804
11 Provider Business Practice Location Address Fax Number 7176578683
12 Provider Enumeration Date 1/16/2007
13 Last Update Date 7/9/2007
14 Authorized Official Last Name TOTARO
15 Authorized Official First Name MARK
16 Authorized Official Middle Name A
17 Authorized Official Title or Position EXECUTIVE DIRECTOR CEO
18 Authorized Official Telephone Number 7176574804
19 Healthcare Provider Taxonomy Code 1 261Q00000X
20 Provider License Number 1 309960
21 Provider License Number State Code 1 PA
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Other Provider Identifier 1 0018539060003
24 Other Provider Identifier Type Code 1 05
25 Other Provider Identifier State 1 PA
26 Authorized Official Credential Text PHD

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This page was last updated on: 11/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.