Burgess Family Clinic - Sloan

LBN: Burgess Health Center
Burgess Family Clinic - Sloan is an health care organization with primary practice located at 409 Evans St , Sloan IA 51055-7748. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Burgess Health Center can be contacted via phone (712) 428-4100, or through Wold, Lynn R via phone (712) 423-2311.

Contact Information

Primary practice address
409 Evans St Sloan IA 51055-7748
Phone: (712) 428-4100
Fax: (712) 428-4102
Website:
Map and Directions
Authorized official contact:
Name: Wold, Lynn R
Phone: (712) 423-2311

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Iowa
Allopathic & Osteopathic Physicians / General Practice 208D00000X Iowa
Ambulatory Health Care Facilities / Rural Health 261QR1300X Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Iowa

Profile Details

NPI number 1013243633
LBN Legal business name Burgess Health Center
DBA Doing business as Burgess Family Clinic - Sloan
Authorized official Wold, Lynn R
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 2nd, 2009
Last updated Jul 9th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013243633 NPPES
Iowa MEDICAID 0634865

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