Provider Demographics
NPI:1285770131
Name:CATHOLIC CHARITIES OF THE DIOCESE OF PITTSBURGH
Entity type:Organization
Organization Name:CATHOLIC CHARITIES OF THE DIOCESE OF PITTSBURGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCULLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:412-456-6998
Mailing Address - Street 1:212 9TH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-3517
Mailing Address - Country:US
Mailing Address - Phone:412-456-6999
Mailing Address - Fax:412-456-6990
Practice Address - Street 1:212 9TH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3517
Practice Address - Country:US
Practice Address - Phone:412-456-6999
Practice Address - Fax:412-456-6990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5861003OtherAETNA
PA319820OtherVALUE OPTIONS
PA328833Medicaid