Burnett Medical Center Inc

LBN: Burnett Medical Center Inc
Burnett Medical Center Inc is an health care organization with primary practice located at 257 W Saint George Ave , Grantsburg WI 54840-7827. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Burnett Medical Center Inc can be contacted via phone (715) 463-5317, or through Faught, Charles J. via phone (715) 463-7281.

Contact Information

Primary practice address
257 W Saint George Ave Grantsburg WI 54840-7827
Phone: (715) 463-5317
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Faught, Charles J.
Phone: (715) 463-7281

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1034 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1034 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1034 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1034 Wisconsin

Profile Details

NPI number 1356499784
LBN Legal business name Burnett Medical Center Inc
DBA Doing business as
Authorized official Faught, Charles J.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jan 4th, 2012 - about 13 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 1356499784 NPPES
Minnesota MEDICAID 124768
Minnesota MEDICAID 001212
Minnesota MEDICAID 526247000
Minnesota MEDICAID 110166100

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