Organization
CITY OF OLMSTED FALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN GILLETTE (FINANCE DIRECTOR)
(440) 235-5551
Entity
Organization
Contact information
Practice address
26100 BAGLEY RD, OLMSTED FALLS, OH 44138-1812
(440) 235-5551
(440) 235-8900
Mailing address
PO BOX 951007, CLEVELAND, OH 44193-0193
(440) 605-9117
(440) 442-4443
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000156010
ANTHEM BCBS
OH
05
—
2367308
—
OH
01
—
590012772
RAILROAD MEDICARE
OH
Enumeration date
05/18/2006
Last updated
01/12/2017
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