Provider Demographics
NPI:1164513990
Name:TRI-COUNTY ELECTRIC COOPERATIVE
Entity Type:Organization
Organization Name:TRI-COUNTY ELECTRIC COOPERATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CLOBES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-864-7783
Mailing Address - Street 1:210 W JESSIE ST
Mailing Address - Street 2:PO BOX 626
Mailing Address - City:RUSHFORD
Mailing Address - State:MN
Mailing Address - Zip Code:55971-9103
Mailing Address - Country:US
Mailing Address - Phone:507-864-7783
Mailing Address - Fax:507-864-2871
Practice Address - Street 1:210 W JESSIE ST
Practice Address - Street 2:
Practice Address - City:RUSHFORD
Practice Address - State:MN
Practice Address - Zip Code:55971-9103
Practice Address - Country:US
Practice Address - Phone:507-864-7783
Practice Address - Fax:507-864-2871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1816490001OtherU-CARE MINNESOTA GRP#