Organization Active NPI

City of Euclid

  • Ambulance
  • Euclid, OH
National Provider Identifier
1861477812
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
18035 Issued in OH
Legal business name
CITY OF EUCLID
Practice address
585 E 222ND St
Euclid, OH 44123-2029
Phone
(216) 289-2700
NPI assigned
Dec 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Jack Johnson
Title
Finance Director
Phone
(216) 289-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 18035 OH Primary

Addresses

Primary practice location

585 E 222ND St
Euclid, OH 44123-2029

Mailing address

585 E 222ND St
Euclid, OH 44123-2029

Other identifiers 1

IdentifierTypeStateIssuer
0834495MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051003000245 OH Part B Supplier - Ambulance Service Supplier 1355376914 Practice locations: Euclid, OH

National Provider Directory

National Provider Directory

Locations

775 E 222nd St
Euclid, OH 44123
Phone (216) 289-2850

585 E 222nd St
Euclid, OH 44123
Phone (216) 289-2700

1500 Chardon Rd
Euclid, OH 44117
Phone (216) 289-8415

25970 Lake Shore Blvd
Euclid, OH 44132
Phone (216) 289-8415

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1861477812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 E 222ND ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441232029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 E 222ND ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441232029",
            "telephone_number": "216-289-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF EUCLID",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "216-289-2700"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "18035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0834495",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.