Provider Demographics
NPI:1629114566
Name:CITY OF LAKEFIELD
Entity Type:Organization
Organization Name:CITY OF LAKEFIELD
Other - Org Name:LAKEFIELD AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AMBULANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARKEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-662-5457
Mailing Address - Street 1:206 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:56150
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:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0128146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN48490 LAOtherBCBS OF MINNESOTA