Organization Active NPI

City of East Cleveland

  • Ambulance
  • East Cleveland, OH
National Provider Identifier
1033202189
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF EAST CLEVELAND
Practice address
14340 Euclid Ave
Room 108
East Cleveland, OH 44112-3402
Phone
(216) 681-2319
Fax
(216) 681-2098
NPI assigned
Oct 2, 2006
Last updated
Dec 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ronald Brooks
Title
Finance Director
Phone
(216) 681-2319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X OH Primary

Addresses

Primary practice location

14340 Euclid Ave
Room 108
East Cleveland, OH 44112-3402

Mailing address

1822 Marloes Ave
East Cleveland, OH 44112-3922
Phone (216) 681-2319

Other identifiers 1

IdentifierTypeStateIssuer
2299169MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120314000498 OH Part B Supplier - Ambulance Service Supplier 2668631441 Practice locations: East Cleveland, OH

National Provider Directory

National Provider Directory

Locations

14340 Euclid Ave
Rm 108
East Cleveland, OH 44112
Phone (216) 681-2319

1822 Marloes Ave
East Cleveland, OH 44112
Phone (216) 681-2413

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1033202189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 MARLOES AVE",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441123922",
            "telephone_number": "216-681-2319",
            "fax_number": "216-681-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14340 EUCLID AVE",
            "address_2": "ROOM 108",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441123402",
            "telephone_number": "216-681-2319",
            "fax_number": "216-681-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF EAST CLEVELAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "216-681-2319",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2299169",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.