Healthcare Provider Details

I. General information

NPI: 1659492593
Provider Name (Legal Business Name): CATHOLIC CHARITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2235 W 37TH ST N
WICHITA KS
67204-3819
US

IV. Provider business mailing address

437 N TOPEKA ST
WICHITA KS
67208
US

V. Phone/Fax

Practice location:
  • Phone: 316-942-2008
  • Fax: 316-201-0500
Mailing address:
  • Phone: 316-264-8344
  • Fax: 316-264-4442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberB087117
License Number StateKS

VIII. Authorized Official

Name: PATRICK BUTLER
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 316-264-8344