Organization Active NPI

City of Grandview Heights

  • Land Ambulance
  • Columbus, OH
National Provider Identifier
1366434060
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF GRANDVIEW HEIGHTS
Practice address
1525 Goodale Blvd
Columbus, OH 43212-3451
Phone
(614) 488-5904
Fax
(614) 481-6218
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Greg Eisenacher
Title
Fire Chief
Phone
(614) 340-5239

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 02-0299850 OH
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1525 Goodale Blvd
Columbus, OH 43212-3451

Mailing address

PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484

Other identifiers 3

IdentifierTypeStateIssuer
2523915MedicaidOH
000000346643OtherOHANTHEM
P00164853OtherOHRAILROAD MEDICARE

Other names 1

  • Grandview Heights Division of Fire Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104000017 OH Part B Supplier - Ambulance Service Supplier 3577525252 Practice locations: Grandview Heights, OH

National Provider Directory

National Provider Directory

Locations

1016 Grandview Ave
Grandview Heights, OH 43212
Phone (614) 481-6212

1525 Goodale Blvd
Grandview Heights, OH 43212
Phone (614) 481-5904

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1366434060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 GOODALE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123451",
            "telephone_number": "614-488-5904",
            "fax_number": "614-481-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GRANDVIEW HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "EISENACHER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "614-340-5239"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0299850",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2523915",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000346643",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00164853",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grandview Heights Division of Fire",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grandview Heights Division of Fire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.