Organization Active NPI

Village of Chagrin Falls

  • Ambulance
  • Chagrin Falls, OH
National Provider Identifier
1265596746
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
VILLAGE OF CHAGRIN FALLS
Practice address
21 W Washington St
Chagrin Falls, OH 44022-3010
Phone
(440) 247-5050
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dave Bloom
Title
Finance Director
Phone
(440) 247-5050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

21 W Washington St
Chagrin Falls, OH 44022-3010

Mailing address

21 W Washington St
Chagrin Falls, OH 44022-3010
Phone (440) 247-5050

Other identifiers 1

IdentifierTypeStateIssuer
2516414MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1265596746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W WASHINGTON ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440223010",
            "telephone_number": "440-247-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W WASHINGTON ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440223010",
            "telephone_number": "440-247-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF CHAGRIN FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "440-247-5050"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2516414",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.