Active NPI
Village of Cuyahoga Heights
- Land Ambulance
- Cleveland, OH
National Provider Identifier
1134140205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VILLAGE OF CUYAHOGA HEIGHTS
- Practice address
- 4863 E 71St St
Cleveland, OH 44125-1023 - Phone
- (216) 641-7020
- Fax
- (216) 641-8485
- NPI assigned
- Jul 22, 2006
- 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
- Michael Suhy
- Title
- Fire Chief
- Phone
- (216) 641-7020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
4863 E 71St St
Cleveland, OH 44125-1023
Mailing address
PO Box 21727
Cleveland, OH 44121-0727
Phone (440) 605-9117
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2552358 | Medicaid | OH | |
| 000000352444 | Other | OH | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041101000006 | OH | Part B Supplier - Ambulance Service Supplier | 3173585387 | Practice locations: Cleveland, OH |
National Provider Directory
National Provider DirectoryLocations
5480 Grant Ave
Cleveland, OH 44125
Phone (216) 641-1810
4863 E 71st St
Cleveland, OH 44125
Phone (216) 641-1810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585612800000",
"number": "1134140205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21727",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441210727",
"telephone_number": "440-605-9117",
"fax_number": "440-442-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4863 E 71ST ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441251023",
"telephone_number": "216-641-7020",
"fax_number": "216-641-8485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF CUYAHOGA HEIGHTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A",
"authorized_official_last_name": "SUHY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "216-641-7020"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2552358",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000352444",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.