| Burgess Family Clinic - Decatur | |
|
823 S Broadway St Ste 120 Decatur NE 68020-2000 | |
| (402) 349-5592 | |
| Not Available |
| Full Name | Burgess Family Clinic - Decatur |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 823 S Broadway St Ste 120, Decatur, Nebraska |
| Authorized Official Name and Position | Carl P Behne (CEO) |
| Authorized Official Contact | 7124232311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burgess Family Clinic - Decatur 1600 Diamond St Onawa IA 51040-1548 Ph: (712) 423-2311 | Burgess Family Clinic - Decatur 823 S Broadway St Ste 120 Decatur NE 68020-2000 Ph: (402) 349-5592 |
| NPI Number | 1386836559 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 01/20/2022 |
| Certification Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386836559 | NPI | - | NPPES |
| 0119958 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | () | Secondary |