MEDICARE: SAYBROOK TOWNSHIP TTEE

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

General Provider Information

NPI Number	:	1508802307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAYBROOK TOWNSHIP TTEE

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	:	5714 N RIDGE RD W
Second Line	:
City	:	ASHTABULA
State	:	OH
Zip	:	44004-8801
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:	513-772-4464

Authorized Official
Title or Position	:	CHIEF
Name	:	DAVID WHITAKER
Credential	:
Telephone Number	:	440-969-1179

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	06/05/2026

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Directions to “SAYBROOK TOWNSHIP TTEE ” Practice Location

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