MEDICARE: VILLAGE OF HIGHLAND HILLS

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	02-1206050	OH
2	341600000X	Ambulance
3	3416L0300X	Land 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	:	1780652743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE OF HIGHLAND HILLS

Provider Business Mailing Address
First Line	:	PO BOX 21727
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44121-0727
Country	:	US
Telephone Number	:	440-605-9117
Fax Number	:	440-442-4443

Provider Business Practice Location Address
First Line	:	4019 NORTHFIELD RD
Second Line	:
City	:	HIGHLAND HILLS
State	:	OH
Zip	:	44122-6390
Country	:	US
Telephone Number	:	216-283-3000
Fax Number	:

Authorized Official
Title or Position	:	MAYOR
Name	:	MICHAEL L. BOOKER
Credential	:
Telephone Number	:	216-283-3000

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	10/08/2019

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Directions to “VILLAGE OF HIGHLAND HILLS ” Practice Location

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