Organization
CHARDON TOWNSHIP
Active
Other names
CHARDON FIRE DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J SLUSARSKI (FISCAL OFFICER)
(440) 286-3711
Entity
Organization
Contact information
Practice address
110 S HAMBDEN ST, CHARDON, OH 44024-1219
(440) 286-3711
(440) 286-1941
Mailing address
9949 MENTOR RD, CHARDON, OH 44024-9601
(440) 285-3711
(440) 286-1941
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
020379250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020379250
BOARD OF PHARMACY
OH
05
—
2741377
—
OH
01
—
34000585002
MEDMUTUAL
OH
01
—
OOOOOO297437
BCBS
OH
01
—
P00172918
RR MEDICARE
—
Enumeration date
11/29/2006
Last updated
04/15/2024
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