City of Avon Lake
Organization Active NPI Ambulance · Avon Lake, OH
NPI 1700103785 · NPPES record last updated Mar 25, 2026
Key facts
- NPI
- 1700103785
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- CITY OF AVON LAKE
- Practice address
- 32811 Walker Rd
Avon Lake, OH 44012-1472 - Phone
- (440) 933-8305
- NPI assigned
- Apr 29, 2010
- Organization subpart
- No
Authorized official
- Name
- Beth Krosse
- Title
- Finance Director
- Phone
- (440) 930-4124
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100622000080 | OH | Part B Supplier - Ambulance Service Supplier | 9931230877 | Practice locations: Avon Lake, OH |
National Provider Directory
Locations
32811 Walker Rd
Avon Lake, OH 44012
Phone (440) 933-8305
150 Avon Belden Rd
Avon Lake, OH 44012
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes |
Addresses
Primary practice location
32811 Walker Rd
Avon Lake, OH 44012-1472
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3098320 | Medicaid | OH |
Other names
- Avon Lake Fire Department
Other providers in Avon Lake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.