Provider Demographics
NPI:1730197427
Name:CITY OF OBERLIN
Entity type:Organization
Organization Name:CITY OF OBERLIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:NORENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-775-7206
Mailing Address - Street 1:430 SOUTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:OBERLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44074-1748
Mailing Address - Country:US
Mailing Address - Phone:440-774-3211
Mailing Address - Fax:440-774-7809
Practice Address - Street 1:430 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:OBERLIN
Practice Address - State:OH
Practice Address - Zip Code:44074-1748
Practice Address - Country:US
Practice Address - Phone:440-774-3211
Practice Address - Fax:440-774-7809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
OH341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2694491Medicaid
OH9363151Medicare PIN