National Provider Identifier Database

BURGESS HEALTH CENTER
Hospice Care, Community Based


Contact Information

BURGESS HEALTH CENTER
1600 DIAMOND ST
ONAWA, IA51040-1548
Phone: 712-423-9265
Fax: 712-423-9199
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for BURGESS HEALTH CENTER

NPI Number 1013080951
Legal business name
LBN
BURGESS HEALTH CENTER
Authorized official LYNN WOLD - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 11/16/2006
Last updated 07/09/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • IA License #: NONE
  • NE License #: HOSPICE 7
  • IA Medicaid: 0615393
  • NE Medicaid: 100251727-00
  • IA Other: 61539 BCBC HOSPICE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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