Organization Active NPI

City of Lakewood

  • Ambulance
  • Lakewood, OH
National Provider Identifier
1942212733
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
EMS.021153900-13 Issued in OH
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2156134MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041102000004 OH Part B Supplier - Ambulance Service Supplier 0042272098 Practice locations: Lakewood, OH

National Provider Directory

National Provider Directory
Tax ID family
City of Lakewood2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.