Organization Active NPI

Lyon-Lincoln Electric Cooperative, Inc.

  • Emergency Response System Companies
  • Tyler, MN
National Provider Identifier
1083866529
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Response System CompaniesTaxonomy code 333300000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
984713800MedicaidMN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.