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General NPI Number Information
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NPI Number | 1881974715
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Entity Type | Organization
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Legal Business Name | ST. CROIX VALLEY EMERGENCY MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 712 LINCOLN DR
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City | SAINT CROIX FALLS
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State | WI
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Zip | 54024-8175
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Country | US
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Telephone | 651-243-5502
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Fax |
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Provider Business Mailing Address
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Address Line | 40245 FLETCHER AVE
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City | NORTH BRANCH
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State | MN
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Zip | 55056-6109
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Country | US
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Telephone | 651-243-5502
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | MICHELLE ANDERSON
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Credential |
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Telephone | 651-243-5502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 6604917
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License Number State | WI
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