# BURKE AMBULANCE SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Burke Ambulance Service, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578889523
- **Authorized official:** MARK GREEN (VICE PRESIDENT)
- **Authorized official phone:** (605) 830-2221

## Contact information

- **Practice address:** 701 WASHINGTON STREET, BURKE, SD 57523-0061
- **Practice address phone:** (605) 830-2221
- **Practice address fax:** (605) 775-9055
- **Mailing address:** PO BOX 61, 701 WASHINGTON STREET, BURKE, SD 57523-0061
- **Mailing address phone:** (605) 775-9055
- **Mailing address fax:** (605) 775-9055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0302 | SD | Yes |

## Other

- **Enumeration date:** 04/15/2010
- **Last updated:** 03/03/2023