Organization Active NPI

City of Oakdale

  • Land Ambulance
  • Oakdale, MN
National Provider Identifier
1558457333
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF OAKDALE
Practice address
1584 Hadley Ave N
Oakdale, MN 55128-5407
Phone
(651) 730-2817
Fax
(651) 734-2619
NPI assigned
Oct 5, 2006
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Kyle Stasica
Title
Finance Director
Phone
(651) 730-2719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

1584 Hadley Ave N
Oakdale, MN 55128-5407

Mailing address

PO Box 547
Wheeling, IL 60090-0547
Phone (270) 727-0450

Other identifiers 6

IdentifierTypeStateIssuer
590001255OtherGARAILROAD MEDICARE
8180570OtherTXMEDICA
124567800MedicaidMN
109129OtherMNUCARE
BCBSOtherMN21345CI
1299OtherMNHEALTH PARTNERS INSURANCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040818000542 MN Part B Supplier - Ambulance Service Supplier 5294708152 Practice locations: Oakdale, MN

National Provider Directory

National Provider Directory

Locations

5000 Hadley Ave N
Oakdale, MN 55128
Phone (651) 731-8886

6633 15th St N
Oakdale, MN 55128
Phone (651) 714-8886

1584 Hadley Ave N
Saint Paul, MN 55128
Phone (651) 730-2713

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1558457333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900547",
            "telephone_number": "270-727-0450",
            "fax_number": "336-510-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 HADLEY AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285407",
            "telephone_number": "651-730-2817",
            "fax_number": "651-734-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF OAKDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "STASICA",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "651-730-2719"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590001255",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8180570",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124567800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "109129",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "21345CI",
            "identifier": "BCBS",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS INSURANCE",
            "identifier": "1299",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.