Provider Demographics
NPI:1427100437
Name:CITY OF SHAKER HEIGHTS CITY HALL
Entity type:Organization
Organization Name:CITY OF SHAKER HEIGHTS CITY HALL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-491-1215
Mailing Address - Street 1:3400 LEE RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-3408
Mailing Address - Country:US
Mailing Address - Phone:216-491-1215
Mailing Address - Fax:216-491-1218
Practice Address - Street 1:3400 LEE RD
Practice Address - Street 2:
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44120-3408
Practice Address - Country:US
Practice Address - Phone:216-491-1215
Practice Address - Fax:216-491-1218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0934298Medicaid
OH0934298Medicaid