MEDICARE: RURAL-METRO OF NORTHERN OHIO INC

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	3416L0300X	Land Ambulance	185635	OH
2	3416L0300X	Land Ambulance	180402	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	590002340	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	80151	OTHER	OH	QUALCHOICE
2	867042	OTHER	OH	FEDERAL BLACK LUNG B
3	000000155843	OTHER	OH	ANTHEM PROVIDER #
4	800611	OTHER	OH	FEDERAL BLACK LUNG A
5	1269816	OTHER	OH	UMWA CLEVELAND
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215904792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RURAL-METRO OF NORTHERN OHIO INC

Provider Business Mailing Address
First Line	:	PO BOX 1893
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85252-1893
Country	:	US
Telephone Number	:	888-876-0740
Fax Number	:	480-627-6128

Provider Business Practice Location Address
First Line	:	5171 CANAL RD
Second Line	:
City	:	CUYAHOGA HEIGHTS
State	:	OH
Zip	:	44125-1143
Country	:	US
Telephone Number	:	216-749-2211
Fax Number	:	216-749-7205

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. EDWARD VAN HORNE
Credential	:
Telephone Number	:	682-227-6078

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	04/25/2016

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