Provider Demographics
NPI:1437216660
Name:ROCKY RIVER CITY HALL
Entity Type:Organization
Organization Name:ROCKY RIVER CITY HALL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:440-356-5642
Mailing Address - Street 1:21012 HILLIARD BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3312
Mailing Address - Country:US
Mailing Address - Phone:440-356-5642
Mailing Address - Fax:440-895-2623
Practice Address - Street 1:21012 HILLIARD BLVD
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3312
Practice Address - Country:US
Practice Address - Phone:440-356-5642
Practice Address - Fax:440-895-2623
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF ROCKY RIVER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-03
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-0299750341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH020299750OtherSTATE BOARD OF PHARMACY