Provider Demographics
NPI:1215098256
Name:CATHOLIC CHARITIES DIOCESE OF OGDENSBURG
Entity type:Organization
Organization Name:CATHOLIC CHARITIES DIOCESE OF OGDENSBURG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIOCESAN DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SR. DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-393-2255
Mailing Address - Street 1:6866 STATE HIGHWAY 37
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-4420
Mailing Address - Country:US
Mailing Address - Phone:315-393-2255
Mailing Address - Fax:315-393-2402
Practice Address - Street 1:4914 S CATHERINE ST
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-3667
Practice Address - Country:US
Practice Address - Phone:518-561-0470
Practice Address - Fax:518-561-0472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01978261Medicaid