Active NPI
City of East Cleveland
- Ambulance
- East Cleveland, OH
National Provider Identifier
1033202189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2299169 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120314000498 | OH | Part B Supplier - Ambulance Service Supplier | 2668631441 | Practice locations: East Cleveland, OH |
National Provider Directory
National Provider DirectoryLocations
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.