MEDICARE: MS. SAMATHA ANN BURNS

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	343900000X	Non-emergency Medical Transport (VAN)		OH
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1659529519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SAMATHA ANN BURNS

Provider Business Mailing Address
First Line	:	3793 GREEN RD
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5705
Country	:	US
Telephone Number	:	216-903-5223
Fax Number	:	216-393-3690

Provider Business Practice Location Address
First Line	:	3793 GREEN RD
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5705
Country	:	US
Telephone Number	:	216-232-5302
Fax Number	:	216-393-3690

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2008
Last Update Date	:	06/25/2020

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