Active NPI
City of Brecksville
- Ambulance
- Brecksville, OH
National Provider Identifier
1720317050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF BRECKSVILLE
- Practice address
- 9023 Brecksville Rd
Brecksville, OH 44141-2313 - Phone
- (440) 526-2640
- NPI assigned
- Dec 16, 2009
- 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
- Jerry N Hruby
- Title
- Mayor
- Phone
- (440) 526-4351
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
9023 Brecksville Rd
Brecksville, OH 44141-2313
Mailing address
PO Box 21727
Cleveland, OH 44121-0727
Phone (440) 605-9117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100122000542 | OH | Part B Supplier - Ambulance Service Supplier | 6406998871 | Practice locations: Brecksville, OH |
National Provider Directory
National Provider Directory- Tax ID family
- City of Brecksville
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Cleveland, OH
- NPI 1841528478
Locations
9069 Brecksville Rd
Brecksville, OH 44141
Phone (440) 526-2608
9023 Brecksville Rd
Brecksville, OH 44141
Phone (440) 526-2608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260921600000",
"number": "1720317050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21727",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441210727",
"telephone_number": "440-605-9117",
"fax_number": "440-442-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9023 BRECKSVILLE RD",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441412313",
"telephone_number": "440-526-2640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF BRECKSVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-16",
"last_updated": "2009-12-16",
"status": "A",
"authorized_official_last_name": "HRUBY",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MAYOR",
"authorized_official_telephone_number": "440-526-4351"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brecksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.