Provider Demographics
NPI:1538291760
Name:COUNTY OF BURKE
Entity Type:Organization
Organization Name:COUNTY OF BURKE
Other - Org Name:BURKE COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTING TECHENICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRUDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCCRARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-438-5449
Mailing Address - Street 1:200 AVERY AVE
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3158
Mailing Address - Country:US
Mailing Address - Phone:828-438-5449
Mailing Address - Fax:828-432-2461
Practice Address - Street 1:200 AVERY AVE
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3158
Practice Address - Country:US
Practice Address - Phone:828-438-5449
Practice Address - Fax:828-432-2461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC07234OtherINSURANCE
NC3406679Medicaid
NC3406679Medicaid