Provider Demographics
NPI:1417020231
Name:LYONS FIRE DISTRICT
Entity Type:Organization
Organization Name:LYONS FIRE DISTRICT
Other - Org Name:LYONS VOLUNTEER FIRE AND RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-960-0335
Mailing Address - Street 1:PO BOX 94
Mailing Address - Street 2:
Mailing Address - City:TEKAMAH
Mailing Address - State:NE
Mailing Address - Zip Code:68061-0094
Mailing Address - Country:US
Mailing Address - Phone:402-960-0335
Mailing Address - Fax:402-808-1272
Practice Address - Street 1:405 MAIN STREET
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:NE
Practice Address - Zip Code:68038
Practice Address - Country:US
Practice Address - Phone:402-960-0335
Practice Address - Fax:402-808-1272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11813416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10024983400Medicaid
NEP00261985OtherRR MEDICARE
NE09463OtherBCBS
NE09463OtherBCBS