Interfaith Community Services, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

INTERFAITH COMMUNITY SERVICES, INC.

Practice address

5400 King Hill Ave
Saint Joseph, MO 64504-1503

Phone

(816) 238-4511

Fax

(816) 232-7029

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Bridget Supple

Title

Executive Director

Phone

(816) 238-4511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• InterServ Other name
• InterServ CDS Other name

Tax ID family

Interfaith Community Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Interfaith Community Services, Inc.

  • Voluntary or Charitable Agency
  • Saint Joseph, MO
  • NPI 1063500858
  NPD tax ID

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1043382740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KING HILL AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645041503",
            "telephone_number": "816-238-4511",
            "fax_number": "816-232-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 KING HILL AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645041503",
            "telephone_number": "816-238-4511",
            "fax_number": "816-232-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFAITH COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "SUPPLE",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-238-4511"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261711105",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InterServ",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "InterServ",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "InterServ CDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anne A. Idiculla, M.D.
• Image Specialties, L.L.C.
• Marsha Ann Ingersoll
• Chelsea Renea Ingino, FNP-BC
• Insight Eyecare Specialties Inc
• Interfaith Community Services, Inc.
• Janis Kay Irby, LCSW
• Nafis Islam, MD
• Kelsey Denise Isom, BCBA
• Jabbits Inc

• Voluntary or Charitable Agency in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Voluntary or Charitable Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.