VILLAGE OF BRADY LAKE; NPI #1053531327

Contact Information

VILLAGE OF BRADY LAKE

2123 MERRILL STREET
RAVENNA, OH 44266

Phone: 330-673-0365
Fax: 330-673-5998
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for VILLAGE OF BRADY LAKE

NPI # 1053531327

LBN Legal business name VILLAGE OF BRADY LAKE

Authorized official ETHEL NEMETH - (FINANCE)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/27/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

Medicaid

2492977

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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