MEDICARE: CITY OF BROADVIEW HEIGHTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	590007199	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	346000033900	OTHER	OH	BUREAU OF WORKERS COMP
3	370590001	OTHER	OH	CARESOURCE
4	000000155958	OTHER	OH	ANTHEM BCBS

General Provider Information

NPI Number	:	1083603864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF BROADVIEW HEIGHTS

Provider Business Mailing Address
First Line	:	PO BOX 392907
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9907
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:	513-772-4464

Provider Business Practice Location Address
First Line	:	3591 E WALLINGS RD
Second Line	:
City	:	BROADVIEW HEIGHTS
State	:	OH
Zip	:	44147-1412
Country	:	US
Telephone Number	:	440-526-4493
Fax Number	:	440-526-6153

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	JEFFREY J. HAJEK
Credential	:
Telephone Number	:	440-526-4493

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	05/13/2024

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Directions to “CITY OF BROADVIEW HEIGHTS ” Practice Location

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