Active NPI
Village of South Russell
- Ambulance
- Chagrin Falls, OH
National Provider Identifier
1356461016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- VILLAGE OF SOUTH RUSSELL
- Practice address
- 21 W Washington St
Chagrin Falls, OH 44022-3010 - Phone
- (440) 338-7843
- Fax
- (440) 338-8776
- NPI assigned
- Mar 29, 2007
- 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
- Mr. Mathew Bratt
- Title
- Mayor
- Phone
- (440) 338-7843
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
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) 338-7843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2356892 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356461016",
"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": "440-338-7843",
"fax_number": "440-338-8776"
},
{
"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": "440-338-7843",
"fax_number": "440-338-8776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF SOUTH RUSSELL",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRATT",
"authorized_official_first_name": "MATHEW",
"authorized_official_title_or_position": "MAYOR",
"authorized_official_telephone_number": "440-338-7843",
"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": "2356892",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.