Organization Active NPI

LK Burks Enterprises Inc

Doing business as Eagle EMS

  • Land Ambulance
  • Woodville, TX
National Provider Identifier
1659336295
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
229100 Issued in TX
Legal business name
LK BURKS ENTERPRISES INC
Doing business as
Eagle EMS
Practice address
109 W Live Oak St
Woodville, TX 75979-5225
Phone
(409) 283-7575
Fax
(409) 283-2326
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lloyd Kelvin Burks, EMT-P
Title
Owner
Phone
(409) 283-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 229100 TX Primary

Addresses

Primary practice location

109 W Live Oak St
Woodville, TX 75979-5225

Mailing address

PO Box 2099
Woodville, TX 75979-2099
Phone (409) 283-7575

Other names 1

  • EAGLE EMS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659336295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2099",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759792099",
            "telephone_number": "409-283-7575",
            "fax_number": "409-283-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W LIVE OAK ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759795225",
            "telephone_number": "409-283-7575",
            "fax_number": "409-283-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LK BURKS ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "KELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-283-7575",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "229100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAGLE EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.