Burke Ambulance Service, Inc.
Organization Active NPI Land Ambulance · Burke, SD
NPI 1497875306 · NPPES record last updated Jun 11, 2008
Key facts
- NPI
- 1497875306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 0302 (SD)
- Legal business name
- BURKE AMBULANCE SERVICE, INC.
- Practice address
- 701 Washington Street
Burke, SD 57523-0061 - Phone
- (605) 775-9055
- Fax
- (605) 775-9055
- NPI assigned
- Apr 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Debra Karen Leibel, CNP
- Title
- Medical Director
- Phone
- (605) 775-9055
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0302 | SD | Yes |
Addresses
Primary practice location
701 Washington Street
Burke, SD 57523-0061
Mailing address
PO Box 61
Burke, SD 57523-0061
Phone (605) 775-9055
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000430 | Medicaid | SD |
Other providers in Burke, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.