Provider Demographics
NPI:1437606803
Name:ST. LOUIS PARK FIRE DEPARTMENT
Entity Type:Organization
Organization Name:ST. LOUIS PARK FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOERING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-924-2596
Mailing Address - Street 1:3750 WOODDALE AVE S
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5345
Mailing Address - Country:US
Mailing Address - Phone:952-924-2595
Mailing Address - Fax:952-928-1339
Practice Address - Street 1:3750 WOODDALE AVE S
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-5345
Practice Address - Country:US
Practice Address - Phone:952-924-2595
Practice Address - Fax:952-928-1339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty