City of Brunswick

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF BRUNSWICK

Practice address

4383 Center Rd
Brunswick, OH 44212-3420

Phone

(330) 225-2780

Fax

(330) 273-8070

NPI assigned

Jun 10, 2005

Last updated

May 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carl Deforest

Title

City Manager

Phone

(330) 225-2780

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1902800667",
    "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": "152519907",
            "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": "4383 CENTER RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123420",
            "telephone_number": "330-225-2780",
            "fax_number": "330-273-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BRUNSWICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "DEFOREST",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "330-225-2780",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "02-367650",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "02-367651",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0895303",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Brunswick, OH
• Providers in Brunswick, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.