Organization
CITY OF LAKEWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT GILMAN (FIRE CHIEF)
(216) 529-6658
Entity
Organization
Contact information
Practice address
14601 MADISON AVE, LAKEWOOD, OH 44107-4303
(216) 529-6092
(216) 529-6806
Mailing address
PO BOX 74603, CLEVELAND, OH 44194-0002
(216) 529-6092
(216) 529-6806
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
021153900
OH
341600000X
Ambulance
Primary
EMS.021153900-13
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2156134
—
OH
Enumeration date
08/12/2006
Last updated
12/19/2012
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