Organization Active NPI

Lifeline Coordinating Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Saint Paul, MN
National Provider Identifier
1851396436
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIFELINE COORDINATING SERVICES, INC.
Practice address
1459 English St
Saint Paul, MN 55106-1122
Phone
(651) 771-1193
Fax
(651) 771-1657
NPI assigned
Jun 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Mr. Jerald Bryan Williams
Title
President/Ceo
Phone
(651) 771-1193

Specialties & licenses 1

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

Addresses

Primary practice location

1459 English St
Saint Paul, MN 55106-1122

Mailing address

1459 English St
Saint Paul, MN 55106-1122
Phone (651) 771-1193

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1851396436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 ENGLISH ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061122",
            "telephone_number": "651-771-1193",
            "fax_number": "651-771-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 ENGLISH ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061122",
            "telephone_number": "651-771-1193",
            "fax_number": "651-771-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE COORDINATING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "651-771-1193",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.