IRA BURROUGHS NPI 1225164064

NPI Information

NPI: 1225164064
Provider Name: IRA BURROUGHS

Doing Business As: LAUGHLIN AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
205 EDWARDSVILLE RD
TROY, IL
ZIP 62294
Phone: (618) 667-7495
Get Directions

IRA BURROUGHS is a land transport ambulance in Troy, IL. IRA BURROUGHS NPI is 1225164064. The provider is registered as an organization entity type.
The provider Is Doing Business As Laughlin Ambulance Service.

The provider's business location address is:

205 EDWARDSVILLE RD
TROY, IL
ZIP 62294-301
Phone: (618) 667-7495
Fax: (618) 667-8114

The provider's authorized official is Ira Burroughs .
The authorized official title is Director and has the following contact phone number (618) 667-7495.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 1/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	44876	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	285880	MEDICARE PIN	ILLINOIS
2	370948173001	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »