Provider Demographics
NPI:1386060630
Name:CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC.
Entity type:Organization
Organization Name:CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAU
Authorized Official - Middle Name:
Authorized Official - Last Name:WENDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-637-8888
Mailing Address - Street 1:1919 N 60TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53208-1639
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1919 N 60TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53408-1639
Practice Address - Country:US
Practice Address - Phone:414-771-2881
Practice Address - Fax:414-771-9115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care