Organization Active NPI

Cleveland Heights Director of Finance

  • Land Ambulance
  • Cleveland, OH
National Provider Identifier
1174672349
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CLEVELAND HEIGHTS DIRECTOR OF FINANCE
Practice address
40 Severance Circle
Cleveland, OH 44118-1501
Phone
(216) 291-2673
Fax
(216) 291-4473
NPI assigned
Jan 9, 2007
Last updated
Mar 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Mr. Tomislav Raguz
Title
Director of Finance
Phone
(216) 291-3927

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU
Land Ambulance 3416L0300X OH Primary

Addresses

Primary practice location

40 Severance Circle
Cleveland, OH 44118-1501

Mailing address

40 Severance Circle
Cleveland, OH 44118-1501
Phone (216) 291-2673

Other identifiers 1

IdentifierTypeStateIssuer
0733246MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040429000153 OH Part B Supplier - Ambulance Service Supplier 9436146628 Practice locations: Cleveland Heights, OH

National Provider Directory

National Provider Directory

Locations

3445 Mayfield Rd
Cleveland Heights, OH 44118
Phone (216) 291-2673

40 Severance Cir
Cleveland Heights, OH 44118
Phone (216) 291-2673

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1174672349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SEVERANCE CIRCLE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441181501",
            "telephone_number": "216-291-2673",
            "fax_number": "216-291-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SEVERANCE CIRCLE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441181501",
            "telephone_number": "216-291-2673",
            "fax_number": "216-291-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND HEIGHTS DIRECTOR OF FINANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "RAGUZ",
        "authorized_official_first_name": "TOMISLAV",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "216-291-3927",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0733246",
            "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 21, 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.