MEDICARE: PIKE TOWNSHIP TRUSTEES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	590012543	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	486970001	OTHER	OH	CARESOURCE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000003304	OTHER	OH	ANTHEM BCBS

General Provider Information

NPI Number	:	1043207822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIKE TOWNSHIP TRUSTEES

Provider Business Mailing Address
First Line	:	PO BOX 392907
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9907
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:	513-772-4464

Provider Business Practice Location Address
First Line	:	8440 TROY RD
Second Line	:
City	:	NEW CARLISLE
State	:	OH
Zip	:	45344-9113
Country	:	US
Telephone Number	:	937-328-2210
Fax Number	:

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	JERRY DONNELLY
Credential	:
Telephone Number	:	937-408-9714

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	05/16/2024

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Directions to “PIKE TOWNSHIP TRUSTEES ” Practice Location

Language	Start Address	Practice Location

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