MEDICARE: RURAL STEARNS FAITH IN ACTION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1841452182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RURAL STEARNS FAITH IN ACTION INC

Provider Business Mailing Address
First Line	:	715 1ST ST N
Second Line	:
City	:	COLD SPRING
State	:	MN
Zip	:	56320
Country	:	US
Telephone Number	:	320-685-3693
Fax Number	:	320-685-7044

Provider Business Practice Location Address
First Line	:	715 1ST ST N
Second Line	:
City	:	COLD SPRING
State	:	MN
Zip	:	56320-1401
Country	:	US
Telephone Number	:	320-685-3693
Fax Number	:	320-685-7044

Authorized Official
Title or Position	:	DIRECTOR OF SERVICES
Name	:	LINDSEY SAND
Credential	:
Telephone Number	:	320-685-3693

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	11/05/2008

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