Healthcare Provider Details

I. General information

NPI: 1811025158
Provider Name (Legal Business Name): LOWER ST CROIX VALLEY FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 SAINT CROIX TRL S
LAKELAND MN
55043-9311
US

IV. Provider business mailing address

PO BOX 234
LAKELAND MN
55043-0234
US

V. Phone/Fax

Practice location:
  • Phone: 651-436-7033
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateMN

VIII. Authorized Official

Name: KEVIN MICHAEL KIRBY
Title or Position: DEPUTY CHIEF
Credential:
Phone: 651-436-7033