MEDICARE: SUMMIT RECOVERY HUB

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	347C00000X	Private Vehicle
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1134063209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT RECOVERY HUB

Provider Business Mailing Address
First Line	:	572 W MARKET ST STE 2
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44303-1858
Country	:	US
Telephone Number	:	330-715-8135
Fax Number	:

Provider Business Practice Location Address
First Line	:	572 W MARKET ST STE 2
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44303-1858
Country	:	US
Telephone Number	:	330-715-8135
Fax Number	:

Authorized Official
Title or Position	:	C.O.O.
Name	:	MARK SALCHAK
Credential	:	CPRS
Telephone Number	:	330-871-9702

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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Directions to “SUMMIT RECOVERY HUB ” Practice Location

Language	Start Address	Practice Location

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