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BURGESS HEALTH CENTER NPI 1780637678


NPI Information

NPI: 1780637678
Provider Name: BURGESS HEALTH CENTER

Doing Business As: BURGESS FAMILY CLINIC - DUNLAP

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

Specialization: Rural Health

Address:
612 IOWA AVE
DUNLAP, IA
ZIP 51529
Phone: (712) 643-5880
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BURGESS HEALTH CENTER is a rural health clinic center in Dunlap, IA. BURGESS HEALTH CENTER NPI is 1780637678. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Burgess Family Clinic - Dunlap.

The provider's business location address is:

612 IOWA AVE
DUNLAP, IA
ZIP 51529-334
Phone: (712) 643-5880
Fax: (712) 643-5881

The provider's authorized official is Francis G Tramp .
The authorized official title is Ceo/president and has the following contact phone number (712) 423-9206.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 2/25/2010.


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
1207Q00000XFamily MedicineIOWANo
2208D00000XGeneral PracticeIOWANo
3363L00000XNurse PractitionerIOWANo
4261QR1300XClinic/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
10634865MEDICAIDIOWA
24175414MEDICAIDIOWA
35175414MEDICAIDIOWA
4163470MEDICARE OSCAR/CERTIFICATIONIOWA
5I12107MEDICARE PINIOWA
60431866MEDICAIDIOWA

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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