# CATHOLIC CHARITIES OF INGHAM, EATON & CLINTON COUNTIES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407800931
- **Authorized official:** JENIFER ACKLEY (OFFICE MANAGER)
- **Authorized official phone:** (517) 371-1700

## Contact information

- **Practice address:** 1717 N HIGH ST, LANSING, MI 48906-4529
- **Practice address phone:** (517) 371-1700
- **Practice address fax:** (517) 371-4245
- **Mailing address:** 1717 N HIGH ST, LANSING, MI 48906-4529
- **Mailing address phone:** (517) 371-1700
- **Mailing address fax:** (517) 371-4245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | SL037010 | MI | — |
| 208D00000X | General Practice Physician | PC049423 | MI | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 09/29/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010C362090 | BCBS COOKE | MI |
| 05 | — | 3148943 | — | MI |