Provider Demographics
NPI:1568581601
Name:CITY OF RICHMOND HEIGHTS
Entity Type:Organization
Organization Name:CITY OF RICHMOND HEIGHTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:CEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-383-6304
Mailing Address - Street 1:457 RICHMOND ROAD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143
Mailing Address - Country:US
Mailing Address - Phone:216-383-6304
Mailing Address - Fax:216-383-6320
Practice Address - Street 1:457 RICHMOND ROAD
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143
Practice Address - Country:US
Practice Address - Phone:216-383-6304
Practice Address - Fax:216-383-6320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0101633Medicaid
OH0101633Medicaid