NPIMap

Organization Active NPI

Catholic Charities of the Diocese of St Cloud

  • Community/Behavioral Health Agency
  • Saint Cloud, MN
National Provider Identifier
1942327432
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CATHOLIC CHARITIES OF THE DIOCESE OF ST CLOUD
Practice address
1730 7TH Ave S
Saint Cloud, MN 56301-5711
Phone
(320) 240-3337
Fax
(320) 240-3358
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joanne Broschofsky
Title
Finance Director
Phone
(320) 650-1571

Specialties & licenses 1

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

Addresses

Primary practice location

1730 7TH Ave S
Saint Cloud, MN 56301-5711

Mailing address

PO Box 2390
Saint Cloud, MN 56302-2390
Phone (320) 650-1550

Other identifiers 1

IdentifierTypeStateIssuer
936315700MedicaidMN

Other names 1

  • SILS-WAIVERED Other name

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Diocese of St Cloud17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

1730 7th Ave S
Saint Cloud, MN 56301
Phone (320) 240-3337

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942327432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2390",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563022390",
            "telephone_number": "320-650-1550",
            "fax_number": "320-650-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 7TH AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015711",
            "telephone_number": "320-240-3337",
            "fax_number": "320-240-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF ST CLOUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROSCHOFSKY",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "320-650-1571"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "936315700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SILS-WAIVERED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.