Organization
TOWNSHIP OF ASHTABULA TRUSTEES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD W KENDZERSKI (FIRE CHIEF)
(440) 813-3317
Entity
Organization
Contact information
Practice address
2718 N RIDGE RD E, ASHTABULA, OH 44004-4133
(800) 962-1484
(513) 772-4464
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155947
ANTHEM
OH
05
—
0876306
—
OH
01
—
590015053
RAILROAD MEDICARE
OH
Enumeration date
07/07/2006
Last updated
01/30/2025
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