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Organization

CITY OF NORTH OLMSTED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CARRIE B COPFER (FINANCE DIRECTOR)
(440) 777-8000
Entity
Organization

Contact information

Practice address
5200 DOVER CENTER RD, NORTH OLMSTED, OH 44070-3129
(440) 777-8000
(440) 777-5774
Mailing address
PO BOX 21727, CLEVELAND, OH 44121-0727
(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
000000156006
ANTHEM BCBS
OH
05
0214128
OH
01
590010699
RAILROAD MEDICARE
OH
Enumeration date
05/18/2006
Last updated
11/06/2013
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