Organization Active NPI

Episcopal Community Services, Inc.

  • Community/Behavioral Health Agency
  • Bemidji, MN
National Provider Identifier
1508078502
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EPISCOPAL COMMUNITY SERVICES, INC.
Practice address
1741 15TH Street NW
Bemidji, MN 56619-0744
Phone
(218) 751-6553
Fax
(218) 751-1846
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Frank Vardeman III
Title
Executive Director
Phone
(612) 874-8823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MN Primary

Addresses

Primary practice location

1741 15TH Street NW
Bemidji, MN 56619-0744

Mailing address

PO Box 744
1741 15TH Street NW
Bemidji, MN 56619-0744
Phone (218) 751-6553

Other names 1

  • Archdeacon Gilfillan Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Archdeacon Gilfillan Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508078502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744",
            "address_2": "1741 15TH STREET NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566190744",
            "telephone_number": "218-751-6553",
            "fax_number": "218-751-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 15TH STREET NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566190744",
            "telephone_number": "218-751-6553",
            "fax_number": "218-751-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPISCOPAL COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VARDEMAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-874-8823",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archdeacon Gilfillan Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.