Provider Demographics
NPI:1659399509
Name:BROOKLYN HEIGHTS VILLAGE
Entity Type:Organization
Organization Name:BROOKLYN HEIGHTS VILLAGE
Other - Org Name:VILLAGE OF BROOKLYN HEIGHTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLERK TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-749-4300
Mailing Address - Street 1:PO BOX 21727
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44121-0727
Mailing Address - Country:US
Mailing Address - Phone:440-605-9117
Mailing Address - Fax:440-442-4443
Practice Address - Street 1:345 TUXEDO AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44131-1109
Practice Address - Country:US
Practice Address - Phone:216-351-3542
Practice Address - Fax:216-749-0892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0987982Medicaid
OH0987982Medicaid