CATHOLIC CHARITIES OF ORANGE, SULLIVAN & ULSTER; NPI #1093875007

Contact Information

CATHOLIC CHARITIES OF ORANGE, SULLIVAN & ULSTER

27 MATTHEWS STREET
GOSHEN, NY 10924

Phone: 845-294-5124
Fax: 845-294-1369
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for CATHOLIC CHARITIES OF ORANGE, SULLIVAN & ULSTER

NPI Number 1093875007

LBN Legal business name CATHOLIC CHARITIES OF ORANGE, SULLIVAN & ULSTER

Authorized official SHANNON KELLY - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/11/2006

Last updated 06/02/2025 - More than a year ago

Identifiers

NY	License #	070111579
NY	Medicaid	02739311

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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