Provider Demographics
NPI:1134691975
Name:INSPIRE SERVICES, LLC
Entity Type:Organization
Organization Name:INSPIRE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:BEULKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-240-8813
Mailing Address - Street 1:32298 STATE HIGHWAY 13
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:MN
Mailing Address - Zip Code:56069-4348
Mailing Address - Country:US
Mailing Address - Phone:507-364-5312
Mailing Address - Fax:507-364-5908
Practice Address - Street 1:32298 STATE HIGHWAY 13
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:MN
Practice Address - Zip Code:56069-4348
Practice Address - Country:US
Practice Address - Phone:507-364-5312
Practice Address - Fax:507-364-5908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)