Burgess Family Clinic - Decatur

LBN: Burgess Health Center
Burgess Family Clinic - Decatur is an health care organization with primary practice located at 823 S Broadway St Ste 120 , Decatur NE 68020-2000. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Suppliers / Customized Equipment. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Burgess Health Center can be contacted via phone (402) 349-5592, or through Behne, Carl P via phone (712) 423-2311.

Contact Information

Primary practice address
823 S Broadway St Ste 120 Decatur NE 68020-2000
Phone: (402) 349-5592
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Behne, Carl P
Phone: (712) 423-2311

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1386836559
LBN Legal business name Burgess Health Center
DBA Doing business as Burgess Family Clinic - Decatur
Authorized official Behne, Carl P
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 13th, 2007
Last updated Jan 20th, 2022 - about 3 years 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 1386836559 NPPES
Iowa MEDICAID 0119958

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