Organization Active NPI

Catholic Charities of the Archdiocese of Dubuque Iowa

  • Community/Behavioral Health Agency
  • Dubuque, IA
National Provider Identifier
1144555376
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF DUBUQUE IOWA
Practice address
1229 Mount Loretta Ave
Dubuque, IA 52003-7826
Phone
(563) 588-0558
NPI assigned
Oct 6, 2009
Last updated
Jun 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracy Lee Morrison
Title
Executive Director
Phone
(563) 588-0558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IA Primary

Addresses

Primary practice location

1229 Mount Loretta Ave
Dubuque, IA 52003-7826

Mailing address

1229 Mount Loretta Ave
Dubuque, IA 52003-7826
Phone (563) 588-0558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120515000330 IA Part B Supplier - Clinic/Group Practice 5294998027 Receives reassigned benefits from 7 practitioners
Practice locations: Waterloo, IA; Dubuque, IA; Ames, IA; Cedar Rapids, IA

National Provider Directory

National Provider Directory

Locations

2210 Lincoln Way
Ames, IA 50014
Phone (515) 296-2759

420 6th St SE
Ste 220
Cedar Rapids, IA 52401
Phone (319) 364-7121

307 W Main St
Decorah, IA 52101
Phone (563) 382-1231

1229 Mount Loretta Ave
Dubuque, IA 52003
Phone (563) 588-0558

300 5th St SE
Mason City, IA 50401
Phone (800) 772-2758

1425 Kimball Ave
Waterloo, IA 50702
Phone (319) 272-2080

3835 W 9th St
Waterloo, IA 50702
Phone (319) 232-5233

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1144555376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MOUNT LORETTA AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037826",
            "telephone_number": "563-588-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MOUNT LORETTA AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037826",
            "telephone_number": "563-588-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF DUBUQUE IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "563-588-0558"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.