City of Independence

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF INDEPENDENCE

Practice address

6305 Selig Blvd
Independence, OH 44131-5045

Phone

(216) 524-9713

Fax

(513) 772-4464

NPI assigned

Nov 18, 2008

Last updated

May 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Rega

Title

Chief

Phone

(216) 524-4001

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1124273198",
    "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": "6305 SELIG BLVD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315045",
            "telephone_number": "216-524-9713",
            "fax_number": "513-772-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "REGA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "216-524-4001"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0311400",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3009087",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L. Chernin, PSY.D.
• Benita K Chernyk, PHD
• Sandra Chlad, CNP
• Baoanh Chu
• Michael Allan Cicerchi, ATC
• Colleen Elizabeth Clayton, M.D.
• Cleveland Anesthesia Group, Inc.
• Cleveland Clinic
• Cleveland Clinic Concern:Eap
• Cleveland Clinic Foundation (Cleveland Clinic Independence Family He)

• Ambulance in Independence, OH
• Providers in Independence, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.