NPIMap

Organization Active NPI

Burke Center

  • Developmental Disabilities Clinic/Center
  • Lufkin, TX
National Provider Identifier
1164572772
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
BURKE CENTER
Practice address
2001 S Medford Dr
Lufkin, TX 75901-6260
Phone
(936) 633-5672
NPI assigned
Jan 12, 2007
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teri Smith
Title
Revenue Cycle Administrator
Phone
(936) 633-5651

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X H8939 TX
Specialist 174400000X

Addresses

Primary practice location

2001 S Medford Dr
Lufkin, TX 75901-6260

Mailing address

2001 S Medford Dr
Lufkin, TX 75901-6260
Phone (936) 633-5651

Other identifiers 1

IdentifierTypeStateIssuer
136367304MedicaidTX

Other names 1

  • ECI Case Management Other name

National Provider Directory

National Provider Directory
Tax ID family
Choices Adolescent Center20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

3824 N University Dr
Nacogdoches, TX 75965
Phone (936) 558-6200

Practitioners & affiliated clinicians

Practitioners 136

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 136

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1164572772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016260",
            "telephone_number": "936-633-5651",
            "fax_number": "936-633-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016260",
            "telephone_number": "936-633-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "REVENUE CYCLE ADMINISTRATOR",
        "authorized_official_telephone_number": "936-633-5651"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "H8939",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136367304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECI Case Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.