Provider Demographics
NPI:1659517761
Name:CATHOLIC SOCIAL SERVICES
Entity Type:Organization
Organization Name:CATHOLIC SOCIAL SERVICES
Other - Org Name:CATHOLIC CHARITIES OF THE UPPER PENINSULA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FEATHERSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-227-9118
Mailing Address - Street 1:1100 LUDINGTON ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:ESCANABA
Mailing Address - State:MI
Mailing Address - Zip Code:49829-3542
Mailing Address - Country:US
Mailing Address - Phone:906-786-7212
Mailing Address - Fax:906-786-0676
Practice Address - Street 1:1100 LUDINGTON ST
Practice Address - Street 2:SUITE 401
Practice Address - City:ESCANABA
Practice Address - State:MI
Practice Address - Zip Code:49829-3542
Practice Address - Country:US
Practice Address - Phone:906-786-7212
Practice Address - Fax:906-786-0676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health