Organization Active NPI

Burco EMS, Inc

  • Land Ambulance
  • Dallas, GA
National Provider Identifier
1164706156
Registry record updated Oct 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
110-09 Issued in GA
Legal business name
BURCO EMS, INC
Practice address
122 Bermuda CT
Dallas, GA 30157-4613
Phone
(770) 443-6300
Fax
(770) 443-6307
NPI assigned
Oct 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Roger Burgess, NREMT I,GA-EMT-I
Title
Director of Operations
Phone
(770) 443-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 110-09 GA Primary

Addresses

Primary practice location

122 Bermuda CT
Dallas, GA 30157-4613

Mailing address

122 Bermuda CT
Dallas, GA 30157-4613
Phone (770) 443-6300

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318032000000",
    "number": "1164706156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BERMUDA CT",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301574613",
            "telephone_number": "770-443-6300",
            "fax_number": "770-443-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BERMUDA CT",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301574613",
            "telephone_number": "770-443-6300",
            "fax_number": "770-443-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURCO EMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-08",
        "last_updated": "2011-10-08",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "770-443-6300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT I,GA-EMT-I"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "110-09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.