| NPI | 1386836559 |
|---|---|
| Doing Business As | BURGESS FAMILY CLINIC - DECATUR |
| Entity Type | Organization |
| Authorized Contact | CARL P BEHNE CEO 712-423-2311 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2022-01-20 |