Burgess Family Clinic - Maple Valley

LBN: Burgess Health Center
Burgess Family Clinic - Maple Valley is an health care organization with primary practice located at 513 S Muckey St , Mapleton IA 51034-1055. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Burgess Health Center can be contacted via phone (712) 882-2234, or through Wold, Lynn R via phone (712) 423-2311.

Contact Information

Primary practice address
513 S Muckey St Mapleton IA 51034-1055
Phone: (712) 882-2234
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wold, Lynn R
Phone: (712) 423-2311

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1588991962
LBN Legal business name Burgess Health Center
DBA Doing business as Burgess Family Clinic - Maple Valley
Authorized official Wold, Lynn R
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 5th, 2009
Last updated Jul 9th, 2024 - about last year

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 1588991962 NPPES
Iowa MEDICAID 0680002

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