OrganizationActive
Marine on St Croix Ambulance Service
NPI 1346452141 · Land Ambulance · Marine on St Croix, MN
Provider details
- NPI number
- 1346452141
- Entity type
- Organization
- Primary specialty
- Land AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Diane Tallackson, Claims Manager(651) 653-2201
Specialties & taxonomies
Transportation Services
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
121 Judd Street
Marine on St Croix, MN 55047
Phone: (651) 433-3636
Street-level locationGet directions
Mailing address
Po Box 250
Marine on Saint Croix, MN 55047-0250
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2007-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.