Organization Active NPI

Mayfield Heights City

Doing business as City of Mayfield Heights

  • Ambulance
  • Mayfield Heights, OH
National Provider Identifier
1265762710
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3070886MedicaidOH

Other names 1

  • City of Mayfield Heights Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100317000016 OH Part B Supplier - Ambulance Service Supplier 3971638925 Practice locations: Mayfield Heights, OH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.