| Organization Name: | CATHOLIC HEALTH SYSTEM PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY, |
| NPI Number: | 1124268305 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINE J. KLUCKHOHN (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 55 Melroy Ave Lackawanna |
| State: | NY US |
| Postal Code: | 142181658 |
| Phone Number: | 7168195101 |
| Fax Number: | 7168195099 |
| NPI Enumeration Date: | 02/27/2009 |
| NPI Last Update Date: | 02/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |