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NPI Code Detail

MEDICARE: CATHOLIC SOCIAL SERVICES OF THE UP

MEDICARE: CATHOLIC SOCIAL SERVICES OF THE UP
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17509105340OTHERMIBLUE CROSS BLUE SHIELD OF MICHIGAN

General Provider Information

NPI Number : 1518116086
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC SOCIAL SERVICES OF THE UP
Provider Business Mailing Address
First Line : 347 ROCK ST
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-4725
Country : US
Telephone Number : 906-227-9119
Fax Number : 906-228-2469
Provider Business Practice Location Address
First Line : 347 ROCK ST
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-4725
Country : US
Telephone Number : 906-227-9119
Fax Number : 906-228-2469
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. KYLE RAMBO
Credential :
Telephone Number : 906-227-9116
Provider Enumeration Date : 09/09/2008
Last Update Date : 11/04/2020

Similar Medicare Providers

1982638755 — MR. DAVID L DILL LMSW
Practice Location Address:
347 ROCK ST
MARQUETTE, MI
49855-4725
Practice Phone: 906-227-9119
Practice Fax: 906-228-2469
1619907052 — CATHOLIC SOCIAL SERVICES OF THE U.P.
Practice Location Address:
347 ROCK ST
MARQUETTE, MI
49855-4725
Practice Phone: 906-227-9118
Practice Fax: 906-228-2469
1629002514 — MR. JAMES M DWYER LMSW
Practice Location Address:
347 ROCK ST
MARQUETTE, MI
49855-4725
Practice Phone: 906-227-9119
Practice Fax: 906-228-2469
1386662559 — MRS. LINDA G KEARNEY LMSW
Practice Location Address:
347 ROCK ST
MARQUETTE, MI
49855-4725
Practice Phone: 906-227-9119
Practice Fax: 609-228-2469
1306867155 — MS. JUDITH A KRAUSE LMSW
Practice Location Address:
347 ROCK ST
MARQUETTE, MI
49855-4725
Practice Phone: 906-227-9119
Practice Fax: 906-228-2469
1104913466 — MS. SUSAN UBALLE LCSW
Practice Location Address:
347 ROCK ST
MARQUETTE, MI
49855-4725
Practice Phone: 906-228-9119
Practice Fax:

Directions to “CATHOLIC SOCIAL SERVICES OF THE UP ” Practice Location

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