Active NPI
Mayfield Heights City
Doing business as City of Mayfield Heights
- Ambulance
- Mayfield Heights, OH
National Provider Identifier
1265762710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- MAYFIELD HEIGHTS CITY
- Doing business as
- City of Mayfield Heights
- Practice address
- 6154 Mayfield Rd
Mayfield Heights, OH 44124-3207 - Phone
- (440) 442-2626
- Fax
- (440) 442-0232
- NPI assigned
- Jan 6, 2010
- Last updated
- Oct 8, 2019
- 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
- Bruce Edward Elliott
- Title
- Fire Chief
- Phone
- (440) 442-2626
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary | |
| Land Ambulance | 3416L0300X | NU |
Addresses
Primary practice location
6154 Mayfield Rd
Mayfield Heights, OH 44124-3207
Mailing address
PO Box 21727
Cleveland, OH 44121-0727
Phone (440) 605-9117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3070886 | Medicaid | OH |
Other names 1
- City of Mayfield Heights
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100317000016 | OH | Part B Supplier - Ambulance Service Supplier | 3971638925 | Practice locations: Mayfield Heights, OH |
National Provider Directory
National Provider DirectoryLocations
6154 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 442-2626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570492800000",
"number": "1265762710",
"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": "6154 MAYFIELD RD",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441243207",
"telephone_number": "440-442-2626",
"fax_number": "440-442-0232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYFIELD HEIGHTS CITY",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-06",
"last_updated": "2019-10-08",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "440-442-2626"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3070886",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "City of Mayfield Heights",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "City of Mayfield Heights",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mayfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.