Organization Active NPI

City of Mentor Lake County

  • Ambulance
  • Mentor, OH
National Provider Identifier
1063570141
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF MENTOR LAKE COUNTY
Practice address
8467 Civic Center Blvd
Mentor, OH 44060-2415
Phone
(440) 974-5765
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Ron Zak
Title
Chief
Phone
(440) 974-5765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

8467 Civic Center Blvd
Mentor, OH 44060-2415

Mailing address

PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484

Other names 1

  • Mentor Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070202000267 OH Part B Supplier - Ambulance Service Supplier 9133121262 Practice locations: Mentor, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0861744Mentor Fire Department8467 Civic Center Blvd, Mentor, OH 44060Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

5025 Corduroy Rd
Mentor, OH 44060
Phone (440) 257-6457

6900 Reynolds Rd
Mentor, OH 44060
Phone (440) 974-5704

8467 Civic Center Blvd
Mentor, OH 44060
Phone (440) 974-5765

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1063570141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8467 CIVIC CENTER BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440602415",
            "telephone_number": "440-974-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MENTOR LAKE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "ZAK",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "440-974-5765"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mentor Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.