Burnsville Fire and Rescue Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BURNSVILLE FIRE AND RESCUE AMBULANCE SERVICE INC

Doing business as

Burnsville Fire and Rescue

Practice address

13380 Hwy 742 N
Polkton, NC 28135

Phone

(704) 826-8302

Fax

(704) 826-6234

NPI assigned

Sep 14, 2006

Last updated

Jun 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda B Nix

Title

Assistant Chief

Phone

(704) 272-7167

Specialties & licenses 1

Addresses

Other names 1

• Burnsville Fire and Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1659476448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13380 HWY 742 N",
            "city": "POLKTON",
            "state": "NC",
            "postal_code": "28135",
            "telephone_number": "704-826-8302",
            "fax_number": "704-826-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13380 HWY 742 N",
            "city": "POLKTON",
            "state": "NC",
            "postal_code": "28135",
            "telephone_number": "704-826-8302",
            "fax_number": "704-826-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNSVILLE FIRE AND RESCUE AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "704-272-7167"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burnsville Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Polkton, NC
• Providers in Polkton, NC by specialty
• Land Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.