Active NPI
Lyon-Lincoln Electric Cooperative, Inc.
- Emergency Response System Companies
- Tyler, MN
National Provider Identifier
1083866529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Response System Companies
- Legal business name
- LYON-LINCOLN ELECTRIC COOPERATIVE, INC.
- Practice address
- 205 E Highway 14
Tyler, MN 56178-9310 - Phone
- (507) 247-5505
- Fax
- (507) 247-5508
- NPI assigned
- Oct 15, 2008
- Last updated
- Oct 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Heffele
- Title
- Office Manager
- Phone
- (507) 247-5505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Response System Companies | 333300000X | NU | Primary |
Addresses
Primary practice location
205 E Highway 14
Tyler, MN 56178-9310
Mailing address
205 E Highway 14
P.O. Box 639
Tyler, MN 56178-9310
Phone (507) 247-5505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 984713800 | Medicaid | MN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224028800000",
"number": "1083866529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E HIGHWAY 14",
"address_2": "P.O. BOX 639",
"city": "TYLER",
"state": "MN",
"postal_code": "561789310",
"telephone_number": "507-247-5505",
"fax_number": "507-247-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E HIGHWAY 14",
"city": "TYLER",
"state": "MN",
"postal_code": "561789310",
"telephone_number": "507-247-5505",
"fax_number": "507-247-5508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYON-LINCOLN ELECTRIC COOPERATIVE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-15",
"last_updated": "2008-10-15",
"status": "A",
"authorized_official_last_name": "HEFFELE",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "507-247-5505",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333300000X",
"taxonomy_group": "",
"desc": "Emergency Response System Companies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "984713800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.