Provider Demographics
NPI:1720114739
Name:CITY OF BROOKLYN BROOKLYN CITY TOWN HALL
Entity Type:Organization
Organization Name:CITY OF BROOKLYN BROOKLYN CITY TOWN HALL
Other - Org Name:CITY OF BROOKLYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:ZEMEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-635-4226
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 1:8400 MEMPHIS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:OH
Practice Address - Zip Code:44144-2156
Practice Address - Country:US
Practice Address - Phone:216-749-1212
Practice Address - Fax:216-351-0760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
OH3416L0300X3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0939515Medicaid
OH590008421OtherRAILROAD MEDICARE
OH602954700OtherU.S. DEPT. OF LABOR
OH=========9200OtherBC WESTERN PA
OH=========002OtherMEDICAL MUTUAL
OH=========01OtherWORKERS COMPENSATION
OH=========01OtherWORKERS COMPENSATION