Provider Demographics
NPI:1992125421
Name:BURGE SERVICES
Entity type:Organization
Organization Name:BURGE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:DION
Authorized Official - Last Name:BURGE-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:614-443-3020
Mailing Address - Street 1:PO BOX 7849
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-0849
Mailing Address - Country:US
Mailing Address - Phone:614-443-9198
Mailing Address - Fax:614-443-2920
Practice Address - Street 1:995 THURMAN AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-3133
Practice Address - Country:US
Practice Address - Phone:614-443-9198
Practice Address - Fax:614-443-2920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2512249385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care