Organization Active NPI

Interfaith Outreach & Community Partners

  • Case Management Agency
  • Plymouth, MN
National Provider Identifier
1568212751
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INTERFAITH OUTREACH & COMMUNITY PARTNERS
Practice address
11229 Hwy 55
Plymouth, MN 55441-6067
Phone
(763) 340-1011
NPI assigned
Mar 22, 2024
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Lindsey Mahrer
Title
Program Manager
Phone
(763) 489-7719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

11229 Hwy 55
Plymouth, MN 55441-6067

Mailing address

1605 County Road 101 N
Plymouth, MN 55447-2708
Phone (763) 489-7500

National Provider Directory

National Provider Directory

Locations

1605 County Road 101 N
Plymouth, MN 55447

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1568212751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 COUNTY ROAD 101 N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554472708",
            "telephone_number": "763-489-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11229 HWY 55",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416067",
            "telephone_number": "763-340-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFAITH OUTREACH & COMMUNITY PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "MAHRER",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "763-489-7719"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

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