City White Bear Lake

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0267 Issued in MN

Legal business name

CITY WHITE BEAR LAKE

Practice address

4701 Highway 61
White Bear Lake, MN 55110-3227

Phone

(651) 429-8526

Fax

(651) 429-8500

NPI assigned

Jul 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark W Sather

Title

City Manager

Phone

(651) 429-8516

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• White Bear Lake Fire Department Former legal business name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• City of White Bear Lake MN

  dba White Bear Lake Area Community Counseling Center

  • Community/Behavioral Health Agency
  • White Bear Lake, MN
  • NPI 1053483248

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1417980475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 HIGHWAY 61",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103227",
            "telephone_number": "651-429-8526",
            "fax_number": "651-429-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 HIGHWAY 61",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103227",
            "telephone_number": "651-429-8526",
            "fax_number": "651-429-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY WHITE BEAR LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "SATHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "651-429-8516",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": "0267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651368900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Bear Lake Fire Department",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Chanel Thiry Counseling PLLC
• Linda Cherek, LICSW
• Kelly Ciapetta, LPCC
• Nicole Teresa Ciavarella
• City of White Bear Lake MN (White Bear Lake Area Community Counseling Center)
• Clarke a. McKinney (Freedom Cars)
• Clear Way Counseling, LLC
• Abigail Clinch
• Shelby M Coffey
• Stephanie Colestock, RN

• Ambulance in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.