Active NPI
Burke County Board of Commissioners
Doing business as Burke County Emergency Management Agency
- Land Ambulance
- Waynesboro, GA
National Provider Identifier
1699855049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 017-01
- Legal business name
- BURKE COUNTY BOARD OF COMMISSIONERS
- Doing business as
- Burke County Emergency Management Agency
- Practice address
- 277 Ga Highway 24 S
Waynesboro, GA 30830-4579 - Phone
- (706) 554-6651
- Fax
- (706) 554-4660
- NPI assigned
- Oct 17, 2006
- Last updated
- Jun 17, 2008
- Organization subpart
- Yes
- Parent organization
- BURKE COUNTY BOARD OF COMMISSIONERS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rusty Sanders, PARAMEDIC
- Title
- Director
- Phone
- (706) 554-6651
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 017-01 | GA | Primary |
Addresses
Primary practice location
277 Ga Highway 24 S
Waynesboro, GA 30830-4579
Mailing address
277 Ga Highway 24 S
Waynesboro, GA 30830-4579
Phone (706) 554-6651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00002527A | Medicaid | GA |
Other names 1
- Burke County Emergency Management Agency
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040316000126 | GA | Part B Supplier - Ambulance Service Supplier | 1456241470 | Practice locations: Waynesboro, GA |
National Provider Directory
National Provider Directory- Part of
- Burke County Board of Com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1699855049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 GA HIGHWAY 24 S",
"city": "WAYNESBORO",
"state": "GA",
"postal_code": "308304579",
"telephone_number": "706-554-6651",
"fax_number": "706-554-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 GA HIGHWAY 24 S",
"city": "WAYNESBORO",
"state": "GA",
"postal_code": "308304579",
"telephone_number": "706-554-6651",
"fax_number": "706-554-4660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURKE COUNTY BOARD OF COMMISSIONERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BURKE COUNTY BOARD OF COMMISSIONERS",
"enumeration_date": "2006-10-17",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "RUSTY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "706-554-6651",
"authorized_official_credential": "PARAMEDIC"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "GA",
"license": "017-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00002527A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Burke County Emergency Management Agency",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waynesboro, GA
- Frances Gilbreth Brown, LPC
- Kendall Brown
- Debra S Burch, RN
- Burke Apothecary Inc (Burke Apothecary)
- Burke Clinic
- Burke County Board of Health
- Burke County Board of Health (Burke County Health Department)
- Burke County Board of Health
- Burke County Emergency Physicians LLC
- Burke County Hospital Authority (Burke Medical Center Health Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.