MEDICARE: CITY OF SHAKER HEIGHTS CITY HALL

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

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	:	1427100437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF SHAKER HEIGHTS CITY HALL

Provider Business Mailing Address
First Line	:	3400 LEE RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-3408
Country	:	US
Telephone Number	:	216-491-1215
Fax Number	:	216-491-1218

Provider Business Practice Location Address
First Line	:	3400 LEE RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-3408
Country	:	US
Telephone Number	:	216-491-1215
Fax Number	:	216-491-1218

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	MR. DONALD BARNES
Credential	:
Telephone Number	:	216-491-1215

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	08/22/2020

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