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Organization
BURNETT MEDICAL CENTER INC
Active
Organization
BURNETT MEDICAL CENTER INC
Active
Parent organization
BURNETT MEDICAL CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BURNETT MEDICAL CENTER INC
Authorized official
MR. CHARLES J. FAUGHT (CFO)
(715) 463-7281
Entity
Organization
Contact information
Practice address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-7261
(715) 463-2423
Mailing address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-7261
(715) 463-2423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
6346-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11016610
—
WI
Enumeration date
01/08/2007
Last updated
01/04/2012
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