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NPI Code Detail

MEDICARE: CATHOLIC CHARITIES REGIONAL AGENCY

MEDICARE: CATHOLIC CHARITIES REGIONAL AGENCY
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)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010104OTHEROHUPI MAHONING CITY OH MEDI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30016133OTHERCHAMPUS TRICARE

General Provider Information

NPI Number : 1700835725
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC CHARITIES REGIONAL AGENCY
Provider Business Mailing Address
First Line : 2401 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-2405
Country : US
Telephone Number : 330-744-3320
Fax Number : 330-744-3677
Provider Business Practice Location Address
First Line : 2401 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-2405
Country : US
Telephone Number : 330-744-3320
Fax Number : 330-744-3677
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. NANCY VOITUS
Credential : LISW
Telephone Number : 330-744-3320
Provider Enumeration Date : 05/08/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1518665546 — ALEXIS NICOLE ZIMMERMAN LISW
Practice Location Address:
2401 BELMONT AVE
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44505-2405
Practice Phone: 330-743-1015
Practice Fax:
1700804150 — MS. PAULINE THERESE DALPE MS OF ED
Practice Location Address:
2401 BELMONT AVE
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Practice Fax: 330-744-3677
1639190010 — MRS. CHRISTINE ANN WILLIAMS MS IN ED
Practice Location Address:
2401 BELMONT AVE
YOUNGSTOWN, OH
44505-2405
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Practice Fax: 330-744-3677
1952322349 — MRS. SUSAN Y MARK-SRACIC MS IN ED
Practice Location Address:
2401 BELMONT AVE
YOUNGSTOWN, OH
44505-2405
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Practice Fax: 330-744-3677
1558383737 — MRS. JUDY T MINTO MS IN ED
Practice Location Address:
2401 BELMONT AVE
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1437642162 — MR. JERRY MICHAEL SUTTON II
Practice Location Address:
2401 BELMONT AVE
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44505-2405
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Practice Fax:

Directions to “CATHOLIC CHARITIES REGIONAL AGENCY ” Practice Location

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