Provider Demographics
NPI:1659557999
Name:ERA MED, LLC
Entity Type:Organization
Organization Name:ERA MED, LLC
Other - Org Name:ERA MED, LLC - CLEVELAND CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-899-4806
Mailing Address - Street 1:24174 NETWORK PLACE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-0001
Mailing Address - Country:US
Mailing Address - Phone:610-644-4430
Mailing Address - Fax:
Practice Address - Street 1:1601 N MARGINAL RD
Practice Address - Street 2:BURKE LAKE FRONT AIRPORT
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-3739
Practice Address - Country:US
Practice Address - Phone:610-644-4430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport