Amber Janelle Burton
Individual provider Active NPI Community Health Worker · Bidwell, OH
NPI 1295040939 · NPPES record last updated Aug 17, 2010
Key facts
- NPI
- 1295040939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 2538 Wheaton Rd
Bidwell, OH 45614-9348 - Phone
- (740) 416-5604
- NPI assigned
- Aug 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
2538 Wheaton Rd
Bidwell, OH 45614-9348
Mailing address
2538 Wheaton Rd
Bidwell, OH 45614-9348
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104764877799 | Medicaid | OH |
Other providers in Bidwell, OH
- Thomas P Blodgett
- Tina Brown
- Buckeye Community Services, Inc
- Buckeye Community Services, Inc
- Tanessa Danielle Burns
- Loretta Caldwell
- Britini Nicole Campbell
- Cardinal Recovery, LLC
- Cardinal Recovery, LLC
- Liam Chayse Casto
All providers in Bidwell, OH · Community Health Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.