Provider Demographics
NPI:1699867077
Name:CITY OF CLEVELAND
Entity type:Organization
Organization Name:CITY OF CLEVELAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMISSIONER OF EMS
Authorized Official - Prefix:
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-664-2001
Mailing Address - Street 1:601 LAKESIDE AVE E
Mailing Address - Street 2:#127
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-1027
Mailing Address - Country:US
Mailing Address - Phone:216-664-2814
Mailing Address - Fax:216-664-2171
Practice Address - Street 1:1701 LAKESIDE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-1118
Practice Address - Country:US
Practice Address - Phone:216-664-2555
Practice Address - Fax:216-664-2171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0282304Medicaid
OH9142461Medicare ID - Type Unspecified