Active NPI
Catholic Charities of Diocese of Harrisburg PA Inc
- Public Health or Welfare Agency
- Abbottstown, PA
National Provider Identifier
1508917311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 351940
- Legal business name
- CATHOLIC CHARITIES OF DIOCESE OF HARRISBURG PA INC
- Practice address
- 6156 W Canal Rd
Abbottstown, PA 17301-8982 - Phone
- (717) 657-4804
- Fax
- (717) 657-8683
- NPI assigned
- Jan 16, 2007
- Last updated
- Mar 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelly Gollick, MSW
- Title
- Executive Director
- Phone
- (717) 657-4804
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 351940 | PA | Primary |
Addresses
Primary practice location
6156 W Canal Rd
Abbottstown, PA 17301-8982
Mailing address
4800 Union Deposit Rd
Harrisburg, PA 17111-3551
Phone (717) 657-4804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018539060010 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Catholic Charities of the Diocese of Harrisburg PA Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Harrisburg, PA
- NPI 1730231333
-
- Community/Behavioral Health Agency
- Lancaster, PA
- NPI 1962029884
-
- Community/Behavioral Health Agency
- Harrisburg, PA
- NPI 1447301247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1508917311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 UNION DEPOSIT RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171113551",
"telephone_number": "717-657-4804",
"fax_number": "717-657-8683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6156 W CANAL RD",
"city": "ABBOTTSTOWN",
"state": "PA",
"postal_code": "173018982",
"telephone_number": "717-657-4804",
"fax_number": "717-657-8683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC CHARITIES OF DIOCESE OF HARRISBURG PA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A",
"authorized_official_last_name": "GOLLICK",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "717-657-4804",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "PA",
"license": "351940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018539060010",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Abbottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.