Organization
BURGESS HEALTH CENTER
Active
Parent organization
BURGESS HEALTH CENTER
Other names
BURGESS FAMILY CLINIC - DECATUR
Organization subpart
Yes
Provider details
NPI number
Legal business name
BURGESS HEALTH CENTER
Authorized official
MR. CARL P BEHNE (CEO)
(712) 423-2311
Entity
Organization
Contact information
Practice address
823 S BROADWAY ST STE 120, DECATUR, NE 68020-2000
(402) 349-5592
Mailing address
1600 DIAMOND ST, ONAWA, IA 51040-1548
(712) 423-2311
(712) 423-9199
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119958
—
IA
Enumeration date
08/13/2007
Last updated
01/20/2022
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