Organization
CITY OF WILLOUGHBY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD UNGAR (CHIEF)
(440) 953-4343
Entity
Organization
Contact information
Practice address
37000 EUCLID AVE, WILLOUGHBY, OH 44094-5638
(440) 953-4343
(440) 918-8579
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342996
ANTHEM BCBS
OH
05
—
2514149
—
OH
01
—
P00149200
RAILROAD MEDICARE
OH
Enumeration date
10/25/2005
Last updated
05/24/2024
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