Provider Demographics
NPI:1235562828
Name:LINCOLN MEDICAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:LINCOLN MEDICAL EQUIPMENT, INC
Other - Org Name:LINCOLN MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:GEMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-421-8800
Mailing Address - Street 1:2655 S 70TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2908
Mailing Address - Country:US
Mailing Address - Phone:402-421-8800
Mailing Address - Fax:402-421-7645
Practice Address - Street 1:2655 S 70TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2908
Practice Address - Country:US
Practice Address - Phone:402-421-8800
Practice Address - Fax:402-421-7645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-19
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE6970150001Medicare NSC