Ira Burroughs

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

44876 Issued in IL

Legal business name

IRA BURROUGHS

Practice address

205 Edwardsville Rd
Troy, IL 62294-1301

Phone

(618) 667-7495

Fax

(618) 667-8114

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Ira Burroughs

Title

Director

Phone

(618) 667-7495

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laughlin Ambulance Service Doing business as

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1225164064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 EDWARDSVILLE RD",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941301",
            "telephone_number": "618-667-7495",
            "fax_number": "618-667-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 EDWARDSVILLE RD",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941301",
            "telephone_number": "618-667-7495",
            "fax_number": "618-667-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA BURROUGHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "618-667-7495"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "44876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370948173001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laughlin Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Troy, IL
• Providers in Troy, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.