Organization Active NPI

City of Middleburg HTS

  • Ambulance
  • Middleburg Heights, OH
National Provider Identifier
1174651921
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF MIDDLEBURG HTS
Practice address
15800 Bagley Rd
Middleburg Heights, OH 44130-4834
Phone
(440) 243-1313
Fax
(440) 243-4654
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Mr. Bernard Benedict
Title
Fire Chief
Phone
(440) 243-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

15800 Bagley Rd
Middleburg Heights, OH 44130-4834

Mailing address

15800 Bagley Rd
Middleburg Heights, OH 44130-4834
Phone (440) 243-1313

Other identifiers 1

IdentifierTypeStateIssuer
0887974MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050114000224 OH Part B Supplier - Ambulance Service Supplier 0547219750 Practice locations: Middleburg Heights, OH

National Provider Directory

National Provider Directory

Locations

15800 Bagley Rd
Middleburg Heights, OH 44130
Phone (216) 826-8416

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1174651921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304834",
            "telephone_number": "440-243-1313",
            "fax_number": "440-243-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304834",
            "telephone_number": "440-243-1313",
            "fax_number": "440-243-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MIDDLEBURG HTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "BENEDICT",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "440-243-1313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0887974",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.