Organization Active NPI

Oakdale Health Enterprises Inc

Doing business as Oakdale Enterprises North Ambulance Park Rapids

  • Ambulance
  • Park Rapids, MN
National Provider Identifier
1366575714
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
OAKDALE HEALTH ENTERPRISES INC
Doing business as
Oakdale Enterprises North Ambulance Park Rapids
Practice address
302 Hatch Ave
Park Rapids, MN 56470-4302
Phone
(763) 520-4319
Fax
(763) 520-4829
NPI assigned
Mar 14, 2007
Reactivated
Mar 20, 2008
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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) 581-4768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

302 Hatch Ave
Park Rapids, MN 56470-4302

Mailing address

4501 68TH Ave N
Brooklyn Center, MN 55429-1712
Phone (763) 520-4319

Other identifiers 4

IdentifierTypeStateIssuer
590015507OtherRAILROAD MEDICARE
203675400MedicaidMN
109971OtherUCARE
82395JOOtherMNBLUE CROSS

Other names 1

  • Oakdale Enterprises North Ambulance Park Rapids Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100331000696 MN Part B Supplier - Ambulance Service Supplier 9436285228 1 other NPI on this 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 Ambulance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1366575714",
    "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": "302 HATCH AVE",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564704302",
            "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",
        "deactivation_date": "2008-02-13",
        "reactivation_date": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "GALE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "INTERIM CFO",
        "authorized_official_telephone_number": "763-581-4768"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015507",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203675400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "109971",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "82395JO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakdale Enterprises North Ambulance Park Rapids",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oakdale Enterprises North Ambulance Park Rapids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park Rapids, 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.

Verify at the official NPI Registry.