Healthcare Provider Details

I. General information

NPI: 1629157888
Provider Name (Legal Business Name): BURTON VOLUNTEER FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13828 SPRING ST
BURTON OH
44021
US

IV. Provider business mailing address

13828 SPRING STREET P. O. BOX 243
BURTON OH
44021-0243
US

V. Phone/Fax

Practice location:
  • Phone: 800-707-6753
  • Fax: 614-890-2947
Mailing address:
  • Phone: 440-834-4416
  • Fax: 440-834-0490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateOH

VIII. Authorized Official

Name: MICHAEL SESTAK
Title or Position: FIRE CHIEF
Credential: CHIEF
Phone: 14408344416