Active NPI
City of Lakewood
- Ambulance
- Lakewood, OH
National Provider Identifier
1942212733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- EMS.021153900-13
- Legal business name
- CITY OF LAKEWOOD
- Practice address
- 14601 Madison Ave
Lakewood, OH 44107-4303 - Phone
- (216) 529-6092
- Fax
- (216) 529-6806
- NPI assigned
- Aug 12, 2006
- Last updated
- Dec 19, 2012
- 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
- Mr. Scott Gilman
- Title
- Fire Chief
- Phone
- (216) 529-6658
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 021153900 | OH | |
| Ambulance | 341600000X | EMS.021153900-13 | OH | Primary |
Addresses
Primary practice location
14601 Madison Ave
Lakewood, OH 44107-4303
Mailing address
PO Box 74603
Cleveland, OH 44194-0002
Phone (216) 529-6092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2156134 | 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 |
|---|---|---|---|---|
| O20041102000004 | OH | Part B Supplier - Ambulance Service Supplier | 0042272098 | Practice locations: Lakewood, OH |
National Provider Directory
National Provider Directory- Tax ID family
- City of Lakewood
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- State or Local Public Health Clinic/Center
- Lakewood, OH
- NPI 1104819457
Locations
12650 Detroit Ave
Lakewood, OH 44107
14601 Madison Ave
Lakewood, OH 44107
Phone (216) 529-6092
18124 Detroit Ave
Lakewood, OH 44107
Phone (216) 529-6656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355875200000",
"number": "1942212733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74603",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441940002",
"telephone_number": "216-529-6092",
"fax_number": "216-529-6806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14601 MADISON AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441074303",
"telephone_number": "216-529-6092",
"fax_number": "216-529-6806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF LAKEWOOD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2012-12-19",
"status": "A",
"authorized_official_last_name": "GILMAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "216-529-6658",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "021153900",
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "EMS.021153900-13",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2156134",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, OH
- Chiropractic Health Services, Inc
- Nick Martin Chmura, LPC
- Chris Checkett LLC
- Christinas Counseling Services LLC
- Joselita Chua, M.D.
- City of Lakewood - Division of Health
- Cle Oms Lakewood/Rocky River - Jeffrey W. Kosman DDS Inc.
- Cleveland Clinic Foundation (Lakewood Family Health Center)
- Cleveland Performance Chiropractic, LLC
- Thomas P Cliffel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.