Organization Active NPI

City of Willoughby Hills

  • Ambulance
  • Willoughby, OH
National Provider Identifier
1871502930
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF WILLOUGHBY HILLS
Practice address
35405 Chardon Rd
Willoughby, OH 44094-9195
Phone
(440) 918-8731
Fax
(440) 975-3533
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Authorized official

Name
Robert Gandee
Title
Chief
Phone
(440) 942-7207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

35405 Chardon Rd
Willoughby, OH 44094-9195

Mailing address

PO Box 392907
Pittsburgh, PA 15251-9900
Phone (800) 962-1484

Other identifiers 1

IdentifierTypeStateIssuer
2163653MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040724000013 OH Part B Supplier - Ambulance Service Supplier 1153301650 Practice locations: Willoughby Hills, OH

National Provider Directory

National Provider Directory

Locations

35405 Chardon Rd
Willoughby Hills, OH 44094
Phone (440) 918-8715

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1871502930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519900",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35405 CHARDON RD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949195",
            "telephone_number": "440-918-8731",
            "fax_number": "440-975-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WILLOUGHBY HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "GANDEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "440-942-7207"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2163653",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.