Active NPI
City of Avon Lake
Doing business as Avon Lake Fire Department
- Ambulance
- Avon Lake, OH
National Provider Identifier
1700103785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF AVON LAKE
- Doing business as
- Avon Lake Fire Department
- Practice address
- 32811 Walker Rd
Avon Lake, OH 44012-1472 - Phone
- (440) 933-8305
- NPI assigned
- Apr 29, 2010
- Last updated
- Mar 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beth Krosse
- Title
- Finance Director
- Phone
- (440) 930-4124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
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 names 1
- Avon Lake Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| 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
National Provider DirectoryLocations
150 Avon Belden Rd
Avon Lake, OH 44012
32811 Walker Rd
Avon Lake, OH 44012
Phone (440) 933-8305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774396800000",
"number": "1700103785",
"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",
"fax_number": "513-772-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32811 WALKER RD",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440121472",
"telephone_number": "440-933-8305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF AVON LAKE",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-29",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A",
"authorized_official_last_name": "KROSSE",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "440-930-4124"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avon Lake Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Avon Lake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.