Provider Demographics
NPI:1386857340
Name:CATHOLIC CHARITIES, INC.
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES, INC.
Other - Org Name:CATHOLIC CHARITIES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER / BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:STORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-202-0082
Mailing Address - Street 1:437 N TOPEKA ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208
Mailing Address - Country:US
Mailing Address - Phone:316-264-8344
Mailing Address - Fax:316-264-4442
Practice Address - Street 1:437 N TOPEKA AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-2413
Practice Address - Country:US
Practice Address - Phone:316-202-0606
Practice Address - Fax:316-264-4442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1386857340OtherNPI
KS100006750DMedicaid
KS011119OtherBCBS GROUP NUMBER