# BURGESS HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BURGESS HEALTH CENTER
- **Other names:** BURGESS CLINIC - WHITING
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487022216
- **Legal business name:** BURGESS HEALTH CENTER
- **Authorized official:** LYNN R WOLD (CEO)
- **Authorized official phone:** (712) 423-2311

## Contact information

- **Practice address:** 153 BLAIR ST, WHITING, IA 51063-1007
- **Practice address phone:** (712) 455-2431
- **Practice address fax:** (712) 455-2698
- **Mailing address:** 1600 DIAMOND ST, ONAWA, IA 51040-1548
- **Mailing address phone:** (712) 423-2311
- **Mailing address fax:** (712) 423-9199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/10/2015
- **Last updated:** 07/09/2024