Active NPI
Burco EMS, Inc
- Land Ambulance
- Dallas, GA
National Provider Identifier
1164706156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 110-09
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.