Organization
BURNETT MEDICAL CENTER INC
Active
Parent organization
BURNETT MEDICAL CENTER INC.
Other names
Burnett Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BURNETT MEDICAL CENTER INC.
Authorized official
TAMRA WHITE (MEDICAL PRACTICE ADMINISTRATOR)
(715) 463-7210
Entity
Organization
Contact information
Practice address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-5353
Mailing address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-5317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1034
WI
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
1034
WI
363L00000X
Nurse Practitioner
1034
WI
367A00000X
Advanced Practice Midwife
1034
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001212
—
WI
05
—
110166100
—
WI
05
—
124768
—
MN
05
—
526247000
—
MN
Enumeration date
01/08/2007
Last updated
10/10/2024
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