Provider Demographics
NPI:1386697258
Name:CITY OF STRONGSVILLE OHIO
Entity type:Organization
Organization Name:CITY OF STRONGSVILLE OHIO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:P
Authorized Official - Last Name:PERCIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-580-3150
Mailing Address - Street 1:16099 FOLTZ PKWY
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-5501
Mailing Address - Country:US
Mailing Address - Phone:440-580-3100
Mailing Address - Fax:
Practice Address - Street 1:17000 PROSPECT RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149-5556
Practice Address - Country:US
Practice Address - Phone:440-580-3216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000182277OtherANTHEM BCBS
OH590006643OtherRAILROAD MEDICARE
OH0862688Medicaid
OH590006643OtherRAILROAD MEDICARE