Provider Demographics
NPI:1255498002
Name:SOUTH METRO FIRE DEPARTMENT
Entity Type:Organization
Organization Name:SOUTH METRO FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:EHRET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-552-4175
Mailing Address - Street 1:PO BOX 18157
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118-0157
Mailing Address - Country:US
Mailing Address - Phone:651-450-7133
Mailing Address - Fax:
Practice Address - Street 1:1616 HUMBOLDT AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-3905
Practice Address - Country:US
Practice Address - Phone:651-552-4175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN02343416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport