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BURGESS HEALTH CENTER NPI 1386836559


NPI Information

NPI: 1386836559
Provider Name: BURGESS HEALTH CENTER

Doing Business As: BURGESS FAMILY CLINIC - DECATUR

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
823 S BROADWAY ST STE 120
DECATUR, NE
ZIP 68020
Phone: (402) 349-5592
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BURGESS HEALTH CENTER is a rural health clinic center in Decatur, NE. BURGESS HEALTH CENTER NPI is 1386836559. The provider is registered as an organization entity type.
The provider Is Doing Business As Burgess Family Clinic - Decatur.

The provider's business location address is:

823 S BROADWAY ST STE 120
DECATUR, NE
ZIP 68020-000
Phone: (402) 349-5592

The provider's authorized official is Carl P Behne .
The authorized official title is Ceo and has the following contact phone number (712) 423-2311.

The enumeration date for this NPI number is 8/13/2007 and was last updated on 1/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10119958MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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