Organization Active NPI

City of South Euclid

  • Land Ambulance
  • South Euclid, OH
National Provider Identifier
1740344274
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF SOUTH EUCLID
Practice address
1349 S Green Rd
South Euclid, OH 44121-3945
Phone
(216) 381-0400
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Mrs. Georgine Welo
Title
Mayor
Phone
(216) 691-4221

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1349 S Green Rd
South Euclid, OH 44121-3945

Mailing address

PO Box 21727
Cleveland, OH 44121-0727
Phone (440) 605-9117

Other identifiers 1

IdentifierTypeStateIssuer
2296788MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111013000265 OH Part B Supplier - Ambulance Service Supplier 4981876026 Practice locations: South Euclid, OH

National Provider Directory

National Provider Directory

Locations

1349 S Green Rd
South Euclid, OH 44121
Phone (216) 381-0400

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1740344274",
    "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": "1349 S GREEN RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213945",
            "telephone_number": "216-381-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SOUTH EUCLID",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "WELO",
        "authorized_official_first_name": "GEORGINE",
        "authorized_official_title_or_position": "MAYOR",
        "authorized_official_telephone_number": "216-691-4221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2296788",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.