ST MARYS EMS (NPI# 1003806969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003806969 |
| Entity Type | Organization |
| Organization Name | ST MARYS EMS |
| Other Organization Name | ESSENTIA HEALTH ST MARYS EMERGENCY MEDICAL SERVICES-DETROIT LAKES |
| Practice Address |
225 Park St Detroit Lakes MN 56501 |
| Mailing Address |
225 Park St Detroit Lakes MN 56501-3519 |
| Practice Telephone | 2188470817 |
| Practice Fax Number | 2188440808 |
| Mailing Telephone | 2188470817 |
| Mailing Fax Number | 2188440808 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2019-10-14 |
| Authorized Official Name | RYAN L HILL (CFO) |
| Authorized Official Telephone | 2188475611 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. MARY'S REGIONAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0065 | MN | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 765214300 | 05 | |
| MN | BCBS OF MINNESOTA | 6G347MA | 01 |
| MN | MEDICA MSHO\DUAL | 81-81399 | 01 |
| MN | MEDICA | 81-81619 | 01 |
| Other Name | Type Code |
|---|---|
| Essentia Health St Marys Emergency Medical Services-Detroit Lakes | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689202624 | St Marys Ems | Ambulance | 225 Park St, Detroit Lakes, MN 56501-3519 | 2020-03-27 |
| Street Address |
225 PARK ST |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689202624 | St Marys Ems | Ambulance | 225 Park St, Detroit Lakes, MN 56501-3519 | 2020-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689202624 | St Marys Ems | Ambulance | 225 Park St, Detroit Lakes, MN 56501-3519 | 2020-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104351162 | City of Kiester | Ambulance | 116 N Main Street, Kiester, MN 56051 | 2017-04-27 |
| 1265884456 | Meds-1 Ambulance Service Inc | Ambulance | 1328 Nw 5th St, Grand Rapids, MN 55744-2245 | 2016-07-12 |
| 1578920062 | Clockwise Movers LLC | Ambulance | 2219 Oakland Ave S, Suite 204, Minneapolis, MN 55404 | 2016-01-28 |
| 1700255973 | Dennis Lanoux | Ambulance | 617 Wilkins St W, Stillwater, MN 55082-4432 | 2015-09-17 |
| 1871929976 | Regions Hospital | Ambulance | 2501 Minnehaha Ave, Minneapolis, MN 55404-4119 | 2013-09-20 |
| 1386942639 | City of Lafayette | Ambulance | 800 Main Ave., Lafayette, MN 56054 | 2011-03-10 |
| 1033441951 | Universal Transit Services, Inc | Ambulance | 2500 E 25th Street, Minneapolis, MN 55406 | 2010-02-02 |
| 1407023062 | Fm Ambulance Service, Inc | Ambulance | 511 Atlantic Ave, Thief River Falls, MN 56701-2052 | 2008-05-13 |
| 1851575955 | Elmore Ambulance Service | Ambulance | 208 W Willis St, Elmore, MN 56027 | 2007-12-26 |
| 1801085493 | Bemidji Ambulance Service, Inc. | Ambulance | 512 Kay Ave Se, Bemidji, MN 56601-3637 | 2007-10-18 |
| Find all providers with the same taxonomy | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.