Burgess Health Center

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

BURGESS HEALTH CENTER

Doing business as

Burgess Family Clinic - Decatur

Practice address

823 S Broadway St Ste 120
Decatur, NE 68020-2000

Phone

(402) 349-5592

NPI assigned

Aug 13, 2007

Last updated

Jan 20, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

BURGESS HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Carl P Behne

Title

Ceo

Phone

(712) 423-2311

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• BURGESS FAMILY CLINIC - DECATUR Doing business as

Part of

Burgess Mem Hospital ER

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1386836559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DIAMOND ST",
            "city": "ONAWA",
            "state": "IA",
            "postal_code": "510401548",
            "telephone_number": "712-423-2311",
            "fax_number": "712-423-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 S BROADWAY ST STE 120",
            "city": "DECATUR",
            "state": "NE",
            "postal_code": "680202000",
            "telephone_number": "402-349-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGESS HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BURGESS HEALTH CENTER",
        "enumeration_date": "2007-08-13",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "BEHNE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-423-2311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119958",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BURGESS FAMILY CLINIC - DECATUR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Decatur Rural Fire Dept. (Decatur Vol. Fire and Rescue)
• Marlene Graham
• Stephanie Neary
• Marcia Rae Pickell
• Hailey Rebecca Wolf

• Rural Health Clinic/Center in Decatur, NE
• Providers in Decatur, NE by specialty
• Rural Health Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.