BURGESS HEALTH CENTER (NPI# 1487022216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487022216 |
| Entity Type | Organization |
| Organization Name | BURGESS HEALTH CENTER |
| Other Organization Name | BURGESS CLINIC - WHITING |
| Practice Address |
153 Blair St Whiting IA 51063-1007 |
| Mailing Address |
1600 Diamond St Onawa IA 51040-1548 |
| Practice Telephone | 7124552431 |
| Practice Fax Number | 7124552698 |
| Mailing Telephone | 7124239206 |
| Mailing Fax Number | 7124239199 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | FRANCIS G TRAMP (PRESIDENT) |
| Authorized Official Telephone | 7124239206 |
| Is Organization Subpart | Y |
| Parent Organization Name | BURGESS HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BURGESS CLINIC - WHITING | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013243633 | Burgess Health Center | General Practice | 409 Evans St, Sloan, IA 51055-7748 | 2009-11-02 |
| 1386836559 | Burgess Health Center | Durable Medical Equipment & Medical Supplies | 823 S Broadway St, Decatur, NE 68020-2000 | 2007-08-13 |
| 1699844548 | Burgess Health Center | Pharmacy | 723 Whittier St, Whiting, IA 51063-1035 | 2006-11-07 |
| 1780637678 | Burgess Health Center | Family Medicine | 612 Iowa Ave, Dunlap, IA 51529-1334 | 2006-05-19 |
| 1588991962 | Burgess Health Center | Clinic/Center | 513 S Muckey St, Mapleton, IA 51034-1055 | 2009-11-05 |
| 1598924623 | Burgess Health Center | General Acute Care Hospital | 1600 Diamond St, Onawa, IA 51040-1548 | 2008-06-04 |
| 1871668780 | Burgess Health Center | Medicare Defined Swing Bed Unit | 1600 Diamond St, Onawa, IA 51040-1548 | 2006-11-24 |
| 1538234232 | Burgess Health Center | Radiology | 1600 Diamond St, Onawa, IA 51040-1548 | 2006-11-21 |
| 1730253360 | Burgess Health Center | General Acute Care Hospital | 1600 Diamond St, Onawa, IA 51040-1548 | 2006-11-17 |
| 1710050661 | Burgess Health Center | Home Health | 1600 Diamond St, Onawa, IA 51040-1548 | 2006-11-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | BURGESS HEALTH CENTER | 1600 Diamond St, Onawa, IA 51040 |
| Street Address |
153 BLAIR ST |
| City | WHITING |
| State | IA |
| Zip Code | 51063-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649247362 | Patrick J Pucelik | General Practice | 153 Blair St, Whiting, IA 51063-1007 | 2006-03-01 |
| 1669692380 | J. L. Garred, Sr., M.d.p.c. | Surgery | 153 Blair St, Whiting, IA 51063-1007 | 2007-04-26 |
| 1770550196 | John L Garred Jr. | Surgery | 153 Blair St, Whiting, IA 51063-1007 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134269590 | City of Whiting | Ambulance | 513 Whittier St., Whiting, IA 51063 | 2007-02-07 |
| 1588711139 | Whiting Community Schools | Local Education Agency (LEA) | 606 West Street, Whiting, IA 51063 | 2007-01-05 |
| 1649266842 | Whiting Commercial Development Corp | Assisted Living Facility | 200 Shannon Dr., Whiting, IA 51063 | 2005-09-22 |
| 1336525161 | Crystal Scott | Physical Therapy Assistant | 200 Shannon Dr, Whiting, IA 51063-1021 | 2015-08-04 |
| 1699844548 | Burgess Health Center | Pharmacy | 723 Whittier St, Whiting, IA 51063-1035 | 2006-11-07 |
| 1891911442 | Sandra Rose | Pharmacist | 723 Whittier St, Whiting, IA 51063-1035 | 2007-04-18 |
| 1174983167 | Jennifer Shilling | Chiropractor | 920 Kester St, Whiting, IA 51063-7731 | 2016-03-03 |
| 1891026597 | Erin Tania Anderson | Social Worker | 15838 Highway K42, Whiting, IA 51063-8745 | 2010-01-19 |
| 1053827477 | Roots and Wings Therapy | Clinic/Center | 15838 Highway K42, Whiting, IA 51063-8745 | 2017-12-20 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1427548148 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 1518 Mulberry Ave Ste 202, Muscatine, IA 52761-3433 | 2018-05-17 |
| 1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
| 1659872927 | Henry County Soldiers' and Sailors' Memorial Hospital | Clinic/Center | 227 W Main St Ste 1, Wayland, IA 52654-7615 | 2018-02-22 |
| 1447778170 | Trinity Regional Medical Center | Clinic/Center | 804 Kenyon Rd Ste D, Fort Dodge, IA 50501-5744 | 2017-09-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.