Organization
CITY OF OAKDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE STASICA (FINANCE DIRECTOR)
(651) 730-2719
Entity
Organization
Contact information
Practice address
1584 HADLEY AVE N, OAKDALE, MN 55128-5407
(651) 730-2817
(651) 734-2619
Mailing address
PO BOX 547, WHEELING, IL 60090-0547
(270) 727-0450
(336) 510-5894
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109129
UCARE
MN
05
—
124567800
—
MN
01
—
1299
HEALTH PARTNERS INSURANCE
MN
01
—
590001255
RAILROAD MEDICARE
GA
01
—
8180570
MEDICA
TX
01
—
BCBS
21345CI
MN
Enumeration date
10/05/2006
Last updated
09/16/2025
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