BROOKPARK CITY (NPI# 1619998788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619998788 |
Entity Type | Organization |
Organization Name | BROOKPARK CITY |
Practice Address |
17401 Holland Rd Brookpark OH 44142 |
Mailing Address |
17401 Holland Rd Brookpark OH 44142-3525 |
Practice Telephone | 2164331215 |
Practice Fax Number | 2164337340 |
Mailing Telephone | 2164331215 |
Mailing Fax Number | 2164337340 |
Enumeration Date | 2006-07-22 |
Last Update Date | 2019-09-18 |
Authorized Official Name | THOMAS MAUND (CHIEF) |
Authorized Official Telephone | 2164331215 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | ANTHEM BCBS | 000000155962 | 01 |
OH | 2079692 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
22530 Ruple Parkway, Brook Park, OH 44142 | 2164331215 | 2164337340 |
Street Address |
17401 HOLLAND RD |
City | BROOKPARK |
State | OH |
Zip Code | 44142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326527516 | Kyle Snyder | Community/Behavioral Health | 5545 Smith Road, Brook Park, OH 44142 | 2018-08-09 |
1720576747 | Jennifer Siek | Community/Behavioral Health | 5555 Smith Road, Brook Park, OH 44142 | 2018-04-25 |
1538556360 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 6430 Eastland Rd, Brook Park, OH 44142 | 2015-04-20 |
1275742751 | Debra A. Tkac | Counselor | Ohio Guidestone, 16101 Snow Road, Suite 101, Brookpark, OH 44142 | 2007-05-22 |
1497228605 | Alexis Pfarr | Community/Behavioral Health | 5545 Smith Road, Brook Park, OH 44142 | 2019-01-10 |
1154802122 | Deneen Watson | Community/Behavioral Health | 5545 Smith Road, Brook Park, OH 44142 | 2018-08-27 |
1073094520 | Lacie Robinson | Community/Behavioral Health | 5545 Smith Road, Brook Park, OH 44142 | 2018-08-23 |
1619157039 | Outreach Professional Services Inc | Oral & Maxillofacial Surgery | 15900 Snow Rd, Suite 200, Brook Park, OH 44142 | 2007-11-14 |
1487728382 | Denise Holocker | Physician Assistant | 15900 Snow Rd, Ste 200, Brookpark, OH 44142 | 2006-11-20 |
1992808307 | Richard S Hong Dmd & Kyoko Ozawa Dmd Inc | Dentist | 15400 Snow Rd, #2, Brook Park, OH 44142 | 2006-09-07 |
Find all providers in zip 44142 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1932728268 | Newark Township | Ambulance | 310 Deo Dr, Newark, OH 43055-3085 | 2020-04-16 |
1811534704 | Memorial Emergency Medical Service LLC | Ambulance | 2375 Refugee Park, Columbus, OH 43207-2173 | 2019-12-10 |
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1457995003 | Kingsway Medical Transport LLC | Ambulance | 938 W Main St Ste 1, Hillsboro, OH 45133-7656 | 2019-11-06 |
1821651688 | Waterford Township | Ambulance | 207 4th Street, Beverly, OH 45715-0146 | 2019-04-17 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.