Healthcare Provider Details

I. General information

NPI: 1245311281
Provider Name (Legal Business Name): CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL & MPLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 01/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1276 UNIVERSITY AVE W
SAINT PAUL MN
55104-4101
US

IV. Provider business mailing address

1200 2ND AVE S
MINNEAPOLIS MN
55403-2513
US

V. Phone/Fax

Practice location:
  • Phone: 651-641-1180
  • Fax:
Mailing address:
  • Phone: 651-647-3110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: YOLANDA O'REILLY
Title or Position: BILLING MANAGER
Credential:
Phone: 612-204-8387