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NPI Code Detail

MEDICARE: CATHOLIC CHARITIES SERVING PORTAGE AND STARK COUNTIES

MEDICARE: CATHOLIC CHARITIES SERVING PORTAGE AND STARK COUNTIES
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
1251V00000XVoluntary or Charitable Agency

General Provider Information

NPI Number : 1295943090
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC CHARITIES SERVING PORTAGE AND STARK COUNTIES
Provider Business Mailing Address
First Line : 206 W MAIN ST
Second Line :
City : RAVENNA
State : OH
Zip : 44266-2714
Country : US
Telephone Number : 330-297-7745
Fax Number : 330-297-7763
Provider Business Practice Location Address
First Line : 2308 RENO DR
Second Line :
City : LOUISVILLE
State : OH
Zip : 44641-9083
Country : US
Telephone Number : 330-875-7979
Fax Number : 330-875-3006
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. GEORGE GARCHAR
Credential :
Telephone Number : 330-297-7745
Provider Enumeration Date : 05/18/2007
Last Update Date : 10/23/2013

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Directions to “CATHOLIC CHARITIES SERVING PORTAGE AND STARK COUNTIES ” 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.