Healthcare Provider Details

I. General information

NPI: 1699867077
Provider Name (Legal Business Name): CITY OF CLEVELAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 LAKESIDE AVE
CLEVELAND OH
44114-1118
US

IV. Provider business mailing address

601 LAKESIDE AVE E #127
CLEVELAND OH
44114-1027
US

V. Phone/Fax

Practice location:
  • Phone: 216-664-2555
  • Fax: 216-664-2171
Mailing address:
  • Phone: 216-664-2814
  • Fax: 216-664-2171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ORLANDO WHEELER
Title or Position: COMMISSIONER OF EMS
Credential:
Phone: 216-664-2001