NPIMap

Organization Active NPI

The Metrohealth System

Doing business as Metrohealth Life Flight

  • Air Ambulance
  • Cleveland, OH
National Provider Identifier
1609043645
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
180369 Issued in OH
Legal business name
THE METROHEALTH SYSTEM
Doing business as
Metrohealth Life Flight
Practice address
2500 Metrohealth Drive
Cleveland, OH 44109-1900
Phone
(216) 957-2442
Fax
(216) 957-2404
NPI assigned
May 9, 2008
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
THE METROHEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Mr. Derrick Hollings
Title
Evp/Cfo
Phone
(216) 778-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 180369 OH Primary
Land Ambulance 3416L0300X 180369 OH

Addresses

Primary practice location

2500 Metrohealth Drive
Cleveland, OH 44109-1900

Mailing address

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Other identifiers 2

IdentifierTypeStateIssuer
000000319213OtherOHANTHEM AIR/GROUND
0550827MedicaidOH

Other names 1

  • Metrohealth Life Flight Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070806000006 OH Part A Provider - Hospital 8628982949 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609043645. Details of each certification follow.

Hospital certification: CCN 360059

Legal name
THE METROHEALTH SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 25, 2010
Beds
702
Ownership / control type
Other
Organization structure
OtherNon-profit
Enrollment address
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Metrohealth SystemCCN 360059 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Metrohealth Inpatient M38 organizations share this tax ID, including this one
Part of
Metrohealth Inpatient M

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Locations

2500 Metrohealth Dr
#134
Cleveland, OH 44109

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph Varga Individual W-2 Managing EmployeeDirector of Reimbursement Aug 16, 2009
Jennifer Walker-Rosario Individual W-2 Managing EmployeeAd; Oct 1, 2020

Practitioners & affiliated clinicians

Affiliated clinicians 1,023

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,023

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1609043645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DRIVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-957-2442",
            "fax_number": "216-957-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE METROHEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE METROHEALTH SYSTEM",
        "enumeration_date": "2008-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "HOLLINGS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "216-778-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "OH",
            "license": "180369",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "180369",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM AIR/GROUND",
            "identifier": "000000319213",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0550827",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metrohealth Life Flight",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metrohealth Life Flight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.