Organization Active NPI

City of Brecksville

  • Ambulance
  • Brecksville, OH
National Provider Identifier
1720317050
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Dec 16, 2009

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20100122000542 OH Part B Supplier - Ambulance Service Supplier 6406998871 Practice locations: Brecksville, OH

National Provider Directory

National Provider Directory
Tax ID family
City of Brecksville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.