Organization
BURGESS HEALTH CENTER
Active
Parent organization
BURGESS HEALTH CENTER
Other names
Burgess Home Health
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) 423-9265
(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
251E00000X
Home Health Agency
081001
NE
251E00000X
Home Health Agency
Primary
NONE
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0671461
—
IA
01
—
34605
BCBS WELLMARK HIT 34605
IA
01
—
67146
BCBS HOMES HEALTH
IA
Enumeration date
11/16/2006
Last updated
07/09/2024
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