Organization
BROOKPARK CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC FIKE (FIRE CHIEF)
(216) 433-1214
Entity
Organization
Contact information
Practice address
17401 HOLLAND RD, BROOKPARK, OH 44142
(216) 433-1215
(216) 433-7340
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155962
ANTHEM BCBS
OH
05
—
2079692
—
OH
Enumeration date
07/22/2006
Last updated
09/16/2025
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