Provider Demographics
NPI:1265664130
Name:LINCOLN COUNTY HEARTLAND EXPRESS
Entity Type:Organization
Organization Name:LINCOLN COUNTY HEARTLAND EXPRESS
Other - Org Name:LINCOLN COUNTY TRANSIT
Other - Org Type:Other Name
Authorized Official - Title/Position:TRANSIT DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:NIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-694-1813
Mailing Address - Street 1:319 N REBECCA ST
Mailing Address - Street 2:P.O. BOX 33
Mailing Address - City:IVANHOE
Mailing Address - State:MN
Mailing Address - Zip Code:56142-9572
Mailing Address - Country:US
Mailing Address - Phone:507-694-1813
Mailing Address - Fax:507-694-1198
Practice Address - Street 1:319 N REBECCA ST # 29
Practice Address - Street 2:
Practice Address - City:IVANHOE
Practice Address - State:MN
Practice Address - Zip Code:56142-9572
Practice Address - Country:US
Practice Address - Phone:507-694-1813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN347B00000X347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus