Provider Demographics
NPI:1962731497
Name:NOBLES COOPERATIVE ELECRTRIC
Entity type:Organization
Organization Name:NOBLES COOPERATIVE ELECRTRIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAUSKEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-372-7331
Mailing Address - Street 1:22636 US HIGHWAY 59
Mailing Address - Street 2:P.O. BOX 788
Mailing Address - City:WORTHINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:56187-5175
Mailing Address - Country:US
Mailing Address - Phone:507-372-7331
Mailing Address - Fax:507-372-5148
Practice Address - Street 1:22636 US HIGHWAY 59
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:MN
Practice Address - Zip Code:56187-5175
Practice Address - Country:US
Practice Address - Phone:507-372-7331
Practice Address - Fax:507-372-5148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA440323100OtherMNDHS MN-ITS UMPI