Organization
CITY OF EASTLAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS KOVACIC (CHIEF)
(440) 951-2287
Entity
Organization
Contact information
Practice address
35150 LAKE SHORE BLVD, EASTLAKE, OH 44095-2047
(800) 962-1484
(513) 772-4464
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
—
000000288318
ANTHEM
OH
05
—
2398338
—
OH
01
—
590015598
RAILROAD MEDICARE
OH
Enumeration date
07/07/2006
Last updated
06/25/2025
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