Organization
JACKSON TOWNSHIP TRUSTEES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY G BERCZIK (FIRE CHIEF)
(330) 834-3952
Entity
Organization
Contact information
Practice address
7383 FULTON DR NW, MASSILLON, OH 44646-9393
(330) 834-3950
(330) 834-3958
Mailing address
5735 WALES AVE NW, MASSILLON, OH 44646-9097
(330) 832-7416
(330) 832-5936
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02-0301400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112541
—
OH
Enumeration date
10/10/2006
Last updated
05/01/2024
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