NPIMap

Organization Active NPI

Catholic Social Services of the U.P.

  • Community/Behavioral Health Agency
  • Iron Mountain, MI
National Provider Identifier
1790934263
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CATHOLIC SOCIAL SERVICES OF THE U.P.
Practice address
427 S Stephenson Ave
Suite 215
Iron Mountain, MI 49801-3458
Phone
(906) 774-3323
Fax
(906) 774-2556
NPI assigned
Sep 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Mr. Laurence Ziomkowski
Title
Executive Director
Phone
(906) 227-9116

Specialties & licenses 1

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

Addresses

Primary practice location

427 S Stephenson Ave
Suite 215
Iron Mountain, MI 49801-3458

Mailing address

427 S Stephenson Ave
Suite 215
Iron Mountain, MI 49801-3458
Phone (906) 774-3323

Other identifiers 1

IdentifierTypeStateIssuer
7509105360OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN

Other names 1

  • Catholic Charities of the Upper Peninsula Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Upper Peninsula13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1790934263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S STEPHENSON AVE",
            "address_2": "SUITE 215",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013458",
            "telephone_number": "906-774-3323",
            "fax_number": "906-774-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S STEPHENSON AVE",
            "address_2": "SUITE 215",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013458",
            "telephone_number": "906-774-3323",
            "fax_number": "906-774-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC SOCIAL SERVICES OF THE U.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "ZIOMKOWSKI",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "906-227-9116",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "7509105360",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Charities of the Upper Peninsula",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iron Mountain, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.