MEDICARE: CITY OF CINCINNATI

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	020299400	OH
2	341600000X	Ambulance	02-0299400	OH
3	341600000X	Ambulance	FCY.020299400-13	OH

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

General Provider Information

NPI Number	:	1083626873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF CINCINNATI

Provider Business Mailing Address
First Line	:	PO BOX 634985
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-4985
Country	:	US
Telephone Number	:	855-626-9660
Fax Number	:	833-953-0588

Provider Business Practice Location Address
First Line	:	430 CENTRAL AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-2633
Country	:	US
Telephone Number	:	513-352-6220
Fax Number	:

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	MICHAEL A. WASHINGTON
Credential	:
Telephone Number	:	513-352-6221

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	02/13/2023

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Directions to “CITY OF CINCINNATI ” Practice Location

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