Provider Demographics
NPI:1619927290
Name:CATHOLIC CHARITIES NORTH DAKOTA
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES NORTH DAKOTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DELRAE
Authorized Official - Middle Name:
Authorized Official - Last Name:AMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-371-6166
Mailing Address - Street 1:5201 BISHOPS BLVD S
Mailing Address - Street 2:SUITE B
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-7608
Mailing Address - Country:US
Mailing Address - Phone:701-235-4457
Mailing Address - Fax:701-356-7993
Practice Address - Street 1:5201 BISHOPS BLVD S STE B
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-7605
Practice Address - Country:US
Practice Address - Phone:701-356-7993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable