Organization
PAINESVILLE TOWNSHIP BD OF TRUSTEES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BURCHAK (CHIEF)
(440) 358-1713
Entity
Organization
Contact information
Practice address
55 NYE RD, PAINESVILLE, OH 44077-1403
(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
—
000000227665
ANTHEM
OH
05
—
2398801
—
OH
01
—
590014993
RAILROAD MEDICARE
OH
Enumeration date
07/07/2006
Last updated
06/25/2025
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