| Catalpa Health | |
|
4635 W College Ave Appleton WI 54914-8507 | |
| (920) 750-7000 | |
| (920) 882-5484 |
| Full Name | Catalpa Health |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4635 W College Ave, Appleton, Wisconsin |
| Authorized Official Name and Position | Mary Downs (PRESIDENT, CEO) |
| Authorized Official Contact | 9207507000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catalpa Health 4635 W College Ave Appleton WI 54914-8507 Ph: (920) 750-7000 | Catalpa Health 4635 W College Ave Appleton WI 54914-8507 Ph: (920) 750-7000 |
| NPI Number | 1770967762 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770967762 | NPI | - | NPPES |
| 100052955 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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