Organization Active NPI

Lynch Home Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Erie, PA
National Provider Identifier
1306025655
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6000004966 Issued in PA
Legal business name
LYNCH HOME MEDICAL SUPPLY
Practice address
4020 Main St
Erie, PA 16511-1966
Phone
(814) 899-3636
Fax
(814) 899-9933
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Timothy P LynchNPI 1356407191
Title
Owner
Phone
(814) 899-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6000004966 PA Primary

Addresses

Primary practice location

4020 Main St
Erie, PA 16511-1966

Mailing address

4020 Main St
Erie, PA 16511-1966
Phone (814) 899-3636

Other identifiers 1

IdentifierTypeStateIssuer
0016291780003MedicaidPA

National Provider Directory

National Provider Directory

Locations

4020 Main St
Erie, PA 16511
Phone (814) 899-3636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1306025655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 MAIN ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111966",
            "telephone_number": "814-899-3636",
            "fax_number": "814-899-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 MAIN ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111966",
            "telephone_number": "814-899-3636",
            "fax_number": "814-899-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNCH HOME MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-899-3636",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000004966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016291780003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.