MEDICARE: PERRY 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	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	59001893	OTHER	OH	TRAVELERS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1527498	OTHER	OH	UMWA

General Provider Information

NPI Number	:	1801924055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERRY TOWNSHIP TRUSTEES

Provider Business Mailing Address
First Line	:	PO BOX 621
Second Line	:
City	:	LEWIS CENTER
State	:	OH
Zip	:	43035-0621
Country	:	US
Telephone Number	:	330-833-3865
Fax Number	:	330-833-7972

Provider Business Practice Location Address
First Line	:	1325 PERRY DR SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44710-1034
Country	:	US
Telephone Number	:	330-833-3865
Fax Number	:	330-833-7972

Authorized Official
Title or Position	:	CHIEF
Name	:	LARRY S SEDLOCK
Credential	:
Telephone Number	:	330-833-3865

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	09/14/2023

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