Provider Demographics
NPI:1992906366
Name:FAITH IN ACTION VOLUNTEERS, INC.
Entity type:Organization
Organization Name:FAITH IN ACTION VOLUNTEERS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:YAHNKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-374-2093
Mailing Address - Street 1:PO BOX 604
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:IA
Mailing Address - Zip Code:51652-0604
Mailing Address - Country:US
Mailing Address - Phone:712-374-2093
Mailing Address - Fax:
Practice Address - Street 1:1003 INDIANA ST.
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:IA
Practice Address - Zip Code:51652
Practice Address - Country:US
Practice Address - Phone:712-374-2093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0738799Medicaid