IRA BURROUGHS (NPI# 1225164064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225164064 |
Entity Type | Organization |
Organization Name | IRA BURROUGHS |
Other Organization Name | LAUGHLIN AMBULANCE SERVICE |
Practice Address |
205 Edwardsville Rd Troy IL 62294-1301 |
Practice Telephone | 6186677495 |
Practice Fax Number | 6186678114 |
Mailing Telephone | 6186677495 |
Mailing Fax Number | 6186678114 |
Enumeration Date | 2007-02-26 |
Last Update Date | 2008-01-15 |
Authorized Official Name | IRA BURROUGHS (DIRECTOR) |
Authorized Official Telephone | 6186677495 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
44876 | IL | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 370948173001 | 05 |
Other Name | Type Code |
---|---|
Laughlin Ambulance Service | Doing Business As Name - Organization |
Street Address |
205 EDWARDSVILLE RD |
City | TROY |
State | IL |
Zip Code | 62294-1301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437601283 | Gateway Dental Group, LLC | Dentist | 606 Edwardsville Road, Troy, IL 62294 | 2016-10-27 |
1194056093 | Carol Ann Slazinik | Nurse Anesthetist, Certified Registered | 8634 Blackjack Hollow Ln, Troy, IL 62294 | 2010-01-18 |
1083786248 | Andrea B. Shaw, Lcsw | Social Worker | 552 Edwardsville Road, Troy, IL 62294 | 2006-11-14 |
1457456923 | Kurt Dick James | Dentist | 550 Edwardsville Rd, Troy, IL 62294 | 2006-09-13 |
1992713846 | Rhonda Beth Hanser | Dentist | 334 Bargraves Blvd, Troy, IL 62294 | 2006-08-04 |
1487692430 | Deborah Lea Fowler Dixon Bross | Family Medicine | 301 Edwardsville Road, Troy, IL 62294 | 2006-06-03 |
1225081052 | Patricia Ellen Miller | Pharmacist | 101 E Market, Troy, IL 62294 | 2006-05-19 |
1174576441 | Michael G Csaszar | Dentist | 7656 Plummer Business Drive, Troy, IL 62294 | 2006-05-18 |
1710946280 | Rodney L Lupardus | Family Medicine | 108 West Us Highway 40, Troy, IL 62294 | 2006-03-22 |
1992080774 | Larrah Lenn Duckworth | Pharmacist | 640 Edwardsville Rd, Troy, IL 62294 | 2011-10-12 |
Find all providers in zip 62294 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1285626002 | City of Troy-city Auditor | Ambulance | 19 E Race St, Troy, OH 45373-3564 | 2005-08-18 |
1063419620 | Lincoln County Amb Dist | Ambulance | 1392 South 3rd St, Troy, MO 63379 | 2005-06-28 |
1275900425 | Troy Volunteer Fire and Ambulance | Ambulance | 109 W 6th St, Troy, ID 83871 | 2015-08-24 |
Find all providers in TROY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.