Provider Demographics
NPI:1629114566
Name:CITY OF LAKEFIELD
Entity type:Organization
Organization Name:CITY OF LAKEFIELD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-381-5718
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:LAKEFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:56150-0008
Mailing Address - Country:US
Mailing Address - Phone:507-662-5148
Mailing Address - Fax:507-662-5990
Practice Address - Street 1:206 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:LAKEFIELD
Practice Address - State:MN
Practice Address - Zip Code:56150
Practice Address - Country:US
Practice Address - Phone:507-662-5148
Practice Address - Fax:507-662-5990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand TransportGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN7352182 00Medicaid
MN48490 LAOtherBCBS OF MINNESOTA