1386697258 NPI number — CITY OF STRONGSVILLE OHIO

Table of content: (NPI 1386697258)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386697258 NPI number — CITY OF STRONGSVILLE OHIO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF STRONGSVILLE OHIO
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
STRONGSVILLE FIRE AND EMS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386697258
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/01/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16099 FOLTZ PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STRONGSVILLE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44149-5501
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
440-580-3100
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17000 PROSPECT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STRONGSVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44149-5556
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-580-3216
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PERCIAK
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
P
Authorized Official Title or Position:
MAYOR
Authorized Official Telephone Number:
440-580-3150

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000182277 . This is a "ANTHEM BCBS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 590006643 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0862688 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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