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NPI Code Detail

MEDICARE: CATHOLIC HEALTH SERVICES INC

MEDICARE: CATHOLIC HEALTH SERVICES 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
1225400000XRehabilitation Practitioner

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 : 1770960742
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC HEALTH SERVICES INC
Provider Business Mailing Address
First Line : 4790 N STATE ROAD 7
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33319-5860
Country : US
Telephone Number : 954-641-4200
Fax Number : 954-487-1807
Provider Business Practice Location Address
First Line : 3487 NW 30TH ST
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33311-1103
Country : US
Telephone Number : 954-461-4200
Fax Number : 954-487-1807
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. JOSEPH CATANIA
Credential :
Telephone Number : 954-484-1515
Provider Enumeration Date : 04/29/2015
Last Update Date : 03/23/2021

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Directions to “CATHOLIC HEALTH SERVICES INC ” Practice Location

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