NPIMap

Organization Active NPI

Burke Ambulance Service Inc

  • Land Ambulance
  • Burke, SD
National Provider Identifier
1578889523
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0302 Issued in SD
Legal business name
BURKE AMBULANCE SERVICE INC
Practice address
701 Washington Street
Burke, SD 57523-0061
Phone
(605) 830-2221
Fax
(605) 775-9055
NPI assigned
Apr 15, 2010
Last updated
Mar 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Authorized official

Name
Mark Green
Title
Vice President
Phone
(605) 830-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0302 SD Primary

Addresses

Primary practice location

701 Washington Street
Burke, SD 57523-0061

Mailing address

PO Box 61
701 Washington Street
Burke, SD 57523-0061
Phone (605) 775-9055

Other names 1

  • Burke Ambulance Service, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230613002570 SD Part B Supplier - Ambulance Service Supplier 4082071659 Practice locations: Burke, SD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1578889523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "address_2": "701 WASHINGTON STREET",
            "city": "BURKE",
            "state": "SD",
            "postal_code": "575230061",
            "telephone_number": "605-775-9055",
            "fax_number": "605-775-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WASHINGTON STREET",
            "city": "BURKE",
            "state": "SD",
            "postal_code": "575230061",
            "telephone_number": "605-830-2221",
            "fax_number": "605-775-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "605-830-2221"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "0302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burke Ambulance Service, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Burke Ambulance Service, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burke, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.