Healthcare Provider Details
I. General information
NPI: 1033182506
Provider Name (Legal Business Name): WEST ST PAUL FIRE AND SAFETY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/07/2006
Last Update Date: 07/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1700 LIVINGSTON AVE STE 225
SAINT PAUL MN
55118-5908
US
IV. Provider business mailing address
1700 LIVINGSTON AVE STE 225
SAINT PAUL MN
55118-5908
US
V. Phone/Fax
- Phone: 651-450-7133
- Fax:
- Phone: 651-450-7133
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
EHRET
Title or Position: CHIEF
Credential:
Phone: 651-552-4175