Organization
BURGESS HEALTH CENTER
Active
Parent organization
BURGESS HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
BURGESS HEALTH CENTER
Authorized official
LYNN R WOLD (CEO)
(712) 423-2311
Entity
Organization
Contact information
Practice address
1600 DIAMOND ST, ONAWA, IA 51040-1548
(712) 423-2311
(712) 423-9199
Mailing address
1600 DIAMOND ST, ONAWA, IA 51040-1548
(712) 423-2311
(712) 423-9199
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272237
—
IA
Enumeration date
11/21/2006
Last updated
07/24/2024
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