# JACKSON TOWNSHIP TRUSTEES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356439152
- **Authorized official:** TIMOTHY G BERCZIK (FIRE CHIEF)
- **Authorized official phone:** (330) 834-3952

## Contact information

- **Practice address:** 7383 FULTON DR NW, MASSILLON, OH 44646-9393
- **Practice address phone:** (330) 834-3950
- **Practice address fax:** (330) 834-3958
- **Mailing address:** 5735 WALES AVE NW, MASSILLON, OH 44646-9097
- **Mailing address phone:** (330) 832-7416
- **Mailing address fax:** (330) 832-5936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 02-0301400 | OH | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 05/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0112541 | — | OH |