Lower St Croix Valley Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LOWER ST CROIX VALLEY FIRE PROTECTION DISTRICT

Practice address

1520 Saint Croix TRL S
Lakeland, MN 55043-9311

Phone

(651) 436-7033

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Kevin Michael Kirby

Title

Deputy Chief

Phone

(651) 436-7033

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Lower St. Croix Valley Ambulance Other name
• Lower St. Croix Valley Fire Dept. Other name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1811025158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 234",
            "city": "LAKELAND",
            "state": "MN",
            "postal_code": "550430234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SAINT CROIX TRL S",
            "city": "LAKELAND",
            "state": "MN",
            "postal_code": "550439311",
            "telephone_number": "651-436-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER ST CROIX VALLEY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "651-436-7033"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173867400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27764CR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013825",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lower St. Croix Valley Ambulance",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lower St. Croix Valley Fire Dept.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rosann Marie Froehle, D.C.
• Kirsten Golden, DC
• Marcus Michael Gustafson, DDS
• Darla D Kron, L.AC.
• Andrea Lynn Levasseur, LMFT
• James Lee McDonald, DDS
• David Duane Millard, P.T.
• Northland Dental Partners, PLLC (Metro Dentalcare Lakeland)
• Catherine C Olson, LICSW
• Kennedy Oreilly

• Land Ambulance in Lakeland, MN
• Providers in Lakeland, MN by specialty
• Land Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.