Organization
BURKE AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KAREN LEIBEL CNP (MEDICAL DIRECTOR)
(605) 775-9055
Entity
Organization
Contact information
Practice address
701 WASHINGTON STREET, BURKE, SD 57523-0061
(605) 775-9055
(605) 775-9055
Mailing address
PO BOX 61, BURKE, SD 57523-0061
(605) 775-9055
(605) 775-9055
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0302
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000430
—
SD
Enumeration date
04/02/2007
Last updated
06/11/2008
Update your record
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