Active NPI
Oakdale Health Enterprises, Inc.
- Ambulance
- Alexandria, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- OAKDALE HEALTH ENTERPRISES, INC.
- Practice address
- 708 Nokomis St
Alexandria, MN 56308-1927 - Phone
- (763) 520-4319
- Fax
- (763) 520-4829
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Gale
- Title
- Interim Cfo
- Phone
- (763) 581-4786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
708 Nokomis St
Alexandria, MN 56308-1927
Mailing address
4501 68TH Ave N
Brooklyn Center, MN 55429-1712
Phone (763) 520-4319
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109971 | Other | MN | UCARE |
| 61361DO | Other | MN | BLUE CROSS |
| 232235800 | Medicaid | MN |
Other names 1
- Oakdale Enterprises North Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100331000696 | MN | Part B Supplier - Ambulance Service Supplier | 9436285228 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brooklyn Center, MN; Alexandria, MN; Park Rapids, MN |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Oakdale Enterprises North Ambulance
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Park Rapids, MN
- NPI 1366575714
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
708 Nokomis St
Alexandria, MN 56308
Phone (320) 763-6160
302 Hatch Ave
Park Rapids, MN 56470
Phone (218) 732-5255
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Maple Grove, MN
- NPI 1255306148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1306979745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 68TH AVE N",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554291712",
"telephone_number": "763-520-4319",
"fax_number": "763-520-4829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 NOKOMIS ST",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563081927",
"telephone_number": "763-520-4319",
"fax_number": "763-520-4829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKDALE HEALTH ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "GALE",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "INTERIM CFO",
"authorized_official_telephone_number": "763-581-4786"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "109971",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "61361DO",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "232235800",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oakdale Enterprises North Ambulance",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Oakdale Enterprises North Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.