Active NPI
City of Oakdale
- Land Ambulance
- Oakdale, MN
National Provider Identifier
1558457333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2025
- 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
- Kyle Stasica
- Title
- Finance Director
- Phone
- (651) 730-2719
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590001255 | Other | GA | RAILROAD MEDICARE |
| 8180570 | Other | TX | MEDICA |
| 124567800 | Medicaid | MN | |
| 109129 | Other | MN | UCARE |
| BCBS | Other | MN | 21345CI |
| 1299 | Other | MN | HEALTH PARTNERS INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040818000542 | MN | Part B Supplier - Ambulance Service Supplier | 5294708152 | Practice locations: Oakdale, MN |
National Provider Directory
National Provider DirectoryLocations
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.