Provider Demographics
NPI:1427440429
Name:DR. CATHERINE LARUFFA
Entity type:Organization
Organization Name:DR. CATHERINE LARUFFA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PRACTICE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LARUFFA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-783-2600
Mailing Address - Street 1:700 SOUTH BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BLANCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45107
Mailing Address - Country:US
Mailing Address - Phone:937-783-2600
Mailing Address - Fax:
Practice Address - Street 1:700 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:BLANCHESTER
Practice Address - State:OH
Practice Address - Zip Code:45107-1465
Practice Address - Country:US
Practice Address - Phone:937-783-2600
Practice Address - Fax:937-783-3086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRR479430261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health