Organization Active NPI

Moreau-Grand Electric Cooperative, Inc

  • Durable Medical Equipment & Medical Supplies
  • Timber Lake, SD
National Provider Identifier
1740376441
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MOREAU-GRAND ELECTRIC COOPERATIVE, INC
Practice address
405 9TH St
Timber Lake, SD 57656-0008
Phone
(605) 865-3511
Fax
(605) 865-3340
NPI assigned
Oct 4, 2006
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Melissa D Maher
Title
Manager
Phone
(605) 865-3511

Specialties & licenses 1

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

Addresses

Primary practice location

405 9TH St
Timber Lake, SD 57656-0008

Mailing address

405 9TH St
PO Box 8
Timber Lake, SD 57656-0008
Phone (605) 865-3511

Other identifiers 1

IdentifierTypeStateIssuer
9560490OtherSDDEPT OF SOCIAL SERVICES

National Provider Directory

National Provider Directory
Tax ID family
Moreau-Grand Electric Cooperative Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1740376441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 9TH ST",
            "address_2": "PO BOX 8",
            "city": "TIMBER LAKE",
            "state": "SD",
            "postal_code": "576560008",
            "telephone_number": "605-865-3511",
            "fax_number": "605-865-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 9TH ST",
            "city": "TIMBER LAKE",
            "state": "SD",
            "postal_code": "576560008",
            "telephone_number": "605-865-3511",
            "fax_number": "605-865-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOREAU-GRAND ELECTRIC COOPERATIVE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "MAHER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "605-865-3511"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF SOCIAL SERVICES",
            "identifier": "9560490",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Timber Lake, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.