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NPI Code Detail

MEDICARE: CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC

MEDICARE: CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)1133WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013990407
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC
Provider Business Mailing Address
First Line : 3501 S LAKE DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53235-0900
Country : US
Telephone Number : 414-769-3400
Fax Number : 262-637-0695
Provider Business Practice Location Address
First Line : 503 WISCONSIN AVE
Second Line :
City : SHEBOYGAN
State : WI
Zip : 53081-4147
Country : US
Telephone Number : 920-458-5727
Fax Number : 920-458-5826
Authorized Official
Title or Position : ACCOUNTING MANAGER
Name : MS. REBECCA A PYAOHN
Credential :
Telephone Number : 414-769-3366
Provider Enumeration Date : 11/21/2005
Last Update Date : 08/12/2024

Similar Medicare Providers

1649112137 — RYAN MCROBERTS APSW
Practice Location Address:
503 WISCONSIN AVE
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1205111663 — MS. ROBYN ANN WILLIAMS LPC
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1437413259 — CATHERINE ANN GALLAGHER LPC
Practice Location Address:
503 WISCONSIN AVE
SHEBOYGAN, WI
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Practice Fax: 920-458-5826
1629495619 — LUCILA C ANGULO DE ARAUJO MA, LPC
Practice Location Address:
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1861036295 — MS. RAQUEL O MEDRANO
Practice Location Address:
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1356185003 — MARY HEGEMAN LPC-IT
Practice Location Address:
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Practice Fax:

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