Provider Demographics
NPI:1720165897
Name:FAMILY SERVICE'S INC
Entity Type:Organization
Organization Name:FAMILY SERVICE'S INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OUT PATIENT BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RENKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-293-4798
Mailing Address - Street 1:2101 COURT ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-3243
Mailing Address - Country:US
Mailing Address - Phone:712-293-4700
Mailing Address - Fax:712-293-4805
Practice Address - Street 1:2101 COURT ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104-3243
Practice Address - Country:US
Practice Address - Phone:712-293-4700
Practice Address - Fax:712-293-4805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
IA288832084P0800X
IA283582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty