Organization Active NPI

Rocky River City Hall

  • Ambulance
  • Rocky River, OH
National Provider Identifier
1437216660
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
02-0299750 Issued in OH
Legal business name
ROCKY RIVER CITY HALL
Practice address
21012 Hilliard Blvd
Rocky River, OH 44116-3312
Phone
(440) 356-5642
Fax
(440) 895-2623
NPI assigned
Jan 3, 2007
Organization subpart
Yes
Parent organization
CITY OF ROCKY RIVERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Mr. Christopher M Flynn, EMT-P
Title
Fire Chief
Phone
(440) 356-5642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 02-0299750 OH Primary

Addresses

Primary practice location

21012 Hilliard Blvd
Rocky River, OH 44116-3312

Mailing address

21012 Hilliard Blvd
Rocky River, OH 44116-3312
Phone (440) 356-5642

Other identifiers 1

IdentifierTypeStateIssuer
020299750OtherOHSTATE BOARD OF PHARMACY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070622000477 OH Part B Supplier - Ambulance Service Supplier 6002915634 Practice locations: Rocky River, OH

National Provider Directory

National Provider Directory
Part of
Rocky River City Hall

Locations

21012 Hilliard Blvd
Rocky River, OH 44116
Phone (440) 356-5642

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1437216660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21012 HILLIARD BLVD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163312",
            "telephone_number": "440-356-5642",
            "fax_number": "440-895-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21012 HILLIARD BLVD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163312",
            "telephone_number": "440-356-5642",
            "fax_number": "440-895-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY RIVER CITY HALL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF ROCKY RIVER",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "440-356-5642",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0299750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "020299750",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.