Provider Demographics
NPI:1639381957
Name:ST. ELIZABETH-CATHOLIC CHARITIES
Entity Type:Organization
Organization Name:ST. ELIZABETH-CATHOLIC CHARITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:BATMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-949-7305
Mailing Address - Street 1:601 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-2913
Mailing Address - Country:US
Mailing Address - Phone:812-949-7305
Mailing Address - Fax:812-981-7008
Practice Address - Street 1:601 E MARKET ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-2913
Practice Address - Country:US
Practice Address - Phone:812-949-7305
Practice Address - Fax:812-981-7008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005031 A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty