Organization Active NPI

Chagrin Falls Suburban Volunteer Firemens Association

  • Ambulance
  • Chagrin Falls, OH
National Provider Identifier
1548414071
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CHAGRIN FALLS SUBURBAN VOLUNTEER FIREMENS ASSOCIATION
Practice address
21 West Washington Street
Chagrin Falls, OH 44022
Phone
(440) 247-8281
Fax
(440) 247-2068
NPI assigned
Nov 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Mr. Frank M. Zugan
Title
Chief
Phone
(440) 247-8281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X OH Primary

Addresses

Primary practice location

21 West Washington Street
Chagrin Falls, OH 44022

Mailing address

21 West Washington Street
Chagrin Falls, OH 44022
Phone (440) 247-8281

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090113000143 OH Part B Supplier - Ambulance Service Supplier 9032272380 Practice locations: Chagrin Falls, OH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1548414071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WEST WASHINGTON STREET",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "44022",
            "telephone_number": "440-247-8281",
            "fax_number": "440-247-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WEST WASHINGTON STREET",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "44022",
            "telephone_number": "440-247-8281",
            "fax_number": "440-247-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAGRIN FALLS SUBURBAN VOLUNTEER FIREMENS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "ZUGAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "440-247-8281",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "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 Feb 2, 2012; 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.