Organization
LOWER ST CROIX VALLEY FIRE PROTECTION DISTRICT
Active
Other names
Lower St. Croix Valley Fire Dept., Lower St. Croix Valley Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MICHAEL KIRBY (DEPUTY CHIEF)
(651) 436-7033
Entity
Organization
Contact information
Practice address
1520 SAINT CROIX TRL S, LAKELAND, MN 55043-9311
(651) 436-7033
Mailing address
PO BOX 234, LAKELAND, MN 55043-0234
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173867400
—
MN
01
—
27764CR
BLUE CROSS BLUE SHIELD
MN
01
—
590013825
RAILROAD MEDICARE
MN
Enumeration date
02/28/2007
Last updated
08/19/2024
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