Active NPI
City of Willoughby Hills
- Ambulance
- Willoughby, OH
National Provider Identifier
1871502930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2163653 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040724000013 | OH | Part B Supplier - Ambulance Service Supplier | 1153301650 | Practice locations: Willoughby Hills, OH |
National Provider Directory
National Provider DirectoryLocations
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.