Provider Demographics
NPI:1215904792
Name:RURAL-METRO OF NORTHERN OHIO INC
Entity type:Organization
Organization Name:RURAL-METRO OF NORTHERN OHIO INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-227-6078
Mailing Address - Street 1:PO BOX 1893
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85252-1893
Mailing Address - Country:US
Mailing Address - Phone:888-876-0740
Mailing Address - Fax:480-627-6128
Practice Address - Street 1:5171 CANAL RD
Practice Address - Street 2:
Practice Address - City:CUYAHOGA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-1143
Practice Address - Country:US
Practice Address - Phone:216-749-2211
Practice Address - Fax:216-749-7205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-03
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1804023416L0300X
OH1856353416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH80151OtherQUALCHOICE
OH867042OtherFEDERAL BLACK LUNG B
OH000000155843OtherANTHEM PROVIDER #
OH800611OtherFEDERAL BLACK LUNG A
OH1269816OtherUMWA CLEVELAND
OH590002340OtherRAILROAD MEDICARE
OH2177246Medicaid
OH800611OtherFEDERAL BLACK LUNG A
OH80151OtherQUALCHOICE