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NPI Code Detail

MEDICARE: CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL AND MPLS

MEDICARE: CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL AND MPLS
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
1363LC1500XCommunity Health Nurse PractitionerMN

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 : 1063592434
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL AND MPLS
Provider Business Mailing Address
First Line : 1200 2ND AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55403-2513
Country : US
Telephone Number : 612-204-8387
Fax Number :
Provider Business Practice Location Address
First Line : 1121 E 46TH ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-3562
Country : US
Telephone Number : 612-204-8387
Fax Number :
Authorized Official
Title or Position : BILLING MGR
Name : YOLANDA O'REILLY
Credential :
Telephone Number : 612-204-8387
Provider Enumeration Date : 10/17/2006
Last Update Date : 01/25/2016

Similar Medicare Providers

1235240474 — CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL AND MPLS
Practice Location Address:
1121 E 46TH ST
MINNEAPOLIS, MN
55407-3562
Practice Phone: 612-204-8217
Practice Fax:
1295833150 — JON STUMBRAS LICSW
Practice Location Address:
1121 E 46TH ST
MINNEAPOLIS, MN
55407-3562
Practice Phone: 612-827-9304
Practice Fax:
1437239803 — CATHOLIC CHARITIES OF ST PAUL/MPLS
Practice Location Address:
1121 E 46TH ST
MINNEAPOLIS, MN
55407-3562
Practice Phone: 612-204-8278
Practice Fax:
1881917565 — JESSICA E BEDFORD LICSW
Practice Location Address:
1121 E 46TH ST
MINNEAPOLIS, MN
55407-3562
Practice Phone: 763-227-6010
Practice Fax:
1770806531 — KATIE ZWOLSKI LICSW
Practice Location Address:
1121 E 46TH ST
MINNEAPOLIS, MN
55407-3562
Practice Phone: 612-204-8278
Practice Fax: 612-827-9325
1578876215 — HANNAH PUFFER LICSW
Practice Location Address:
1121 E 46TH ST
MINNEAPOLIS, MN
55407-3562
Practice Phone: 612-204-8278
Practice Fax: 612-827-9325

Directions to “CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL AND MPLS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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