City of Sheffield Lake

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF SHEFFIELD LAKE

Practice address

609 Harris Rd
Sheffield Lake, OH 44054-1469

Phone

(800) 962-1484

Fax

(513) 772-4464

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Mike Conrad

Title

Fire Chief

Phone

(440) 949-8183

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1770515223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621005",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452621005",
            "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": "609 HARRIS RD",
            "city": "SHEFFIELD LAKE",
            "state": "OH",
            "postal_code": "440541469",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SHEFFIELD LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "440-949-8183"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015110",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000228155",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2370769",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Bracken
• Rex Burns
• Keasia Cannon
• Krystile Carlton
• Iysha D Chambers
• Bruce Terriel Davis, LPN
• Juanita Davis, OTR/L
• Latoya Denham
• Gregory N Dziama, O.D.
• Theodore Roger Eddy

• Ambulance in Sheffield Lake, OH
• Providers in Sheffield Lake, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.