BURKE AMBULANCE SERVICE INC. NPI 1497875306

NPI Information

NPI: 1497875306
Provider Name: BURKE AMBULANCE SERVICE, INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 43D1080660

Address:
701 WASHINGTON STREET
BURKE, SD
ZIP 57523
Phone: (605) 775-9055
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BURKE AMBULANCE SERVICE, INC. is a land transport ambulance in Burke, SD. BURKE AMBULANCE SERVICE, INC. NPI is 1497875306. The provider is registered as an organization entity type.

The provider's business location address is:

701 WASHINGTON STREET
BURKE, SD
ZIP 57523-061
Phone: (605) 775-9055
Fax: (605) 775-9055

The provider's authorized official is Debra Karen Leibel .
The authorized official title is Medical Director and has the following contact phone number (605) 775-9055.

The CLIA number assigned to this NPI record is 43D1080660 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 6/11/2008.

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	0302	SOUTH DAKOTA	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	9000430	MEDICAID	SOUTH DAKOTA
2	S99022	MEDICARE PIN	SOUTH DAKOTA

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

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