Lakes Region EMS, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0048 Issued in MN

Legal business name

LAKES REGION EMS, INC.

Practice address

40245 Fletcher Ave
North Branch, MN 55056-6109

Phone

(651) 243-5505

Fax

(651) 674-4628

NPI assigned

Jul 5, 2006

Last updated

Feb 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Anderson

Title

Director of Adminstration

Phone

(651) 243-5502

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

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

• St. Croix Valley Emergency Medical Services, Inc.

  • Land Ambulance
  • Saint Croix Falls, WI
  • NPI 1881974715

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1487685947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40245 FLETCHER AVE",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566109",
            "telephone_number": "651-243-5505",
            "fax_number": "651-674-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40245 FLETCHER AVE",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566109",
            "telephone_number": "651-243-5505",
            "fax_number": "651-674-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES REGION EMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINSTRATION",
        "authorized_official_telephone_number": "651-243-5502"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0177",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0211",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koski Consulting
• William John Koski, LISW
• Amanda Jean Kremers, DNP
• Jena Marie Labine, NP
• Joseph David Lahti, PHARM.D.
• Raelynn Lamminen, PSY.D.
• Thomas A Leaf, MD
• Jenna Marie Leirmoe, MS, LPCC
• Lightnetwork Inc
• Michael Charles Linder, MSW, LICSW

• Land Ambulance in North Branch, MN
• Providers in North Branch, MN by specialty
• Land Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.