BURKE CENTER , NPI 1659421501 — MH CASE MANAGEMENT in LUFKIN (TX)

NPI 1659421501

12+ Years Experience Organization

BURKE CENTER

Other organization name: MH CASE MANAGEMENT.

01.11.2007
PROVIDER ENUMERATION DATE
07.09.2007
LAST UPDATE DATE
1659421501
NPI NUMBER

About BURKE CENTER

BURKE CENTER is a provider established in LUFKIN, TX. The NPI number of BURKE CENTER is 1659421501 and was assigned on 01.11.2007. The practitioners primary taxonomy code is: 261QM0801X with license number: H8939 TX .

Mailing address

  • City: LUFKIN
  • State: TX
  • Postal code: 759015633
  • Phone: 9366335650
  • Fax: 9366335695
  • Address: 4101 S MEDFORD DR

Primary Practice Address

  • Region : LUFKIN, TX
  • NPI : 1659421501
  • Phone : 9366335650
  • Fax : 9366335695
  • Postalcode : 759015633
  • Address : 4101 S MEDFORD DR

Provider taxonomy - Clinic/Center

  • Taxonomy code: 261QM0801X
  • License number: H8939
  • License state: TX

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • BURKE CENTER
  • Address : 4101 S MEDFORD DR
  • Region : LUFKIN, TX
  • NPI : 1659421501
  • Phone : 9366335650
  • Fax : 9366335695
  • Postalcode : 759015633

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 9366335676
  • Title or position : DIRECTOR BILLING DEPARTMENT

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address4101 S MEDFORD DR
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLUFKIN
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameTX
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code759015633
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number9366335650
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number9366335695
The fax number associated with the location address of the provider being identified.
NPI1659421501
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1261QM0801X
Provider Enumeration Date01.11.2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.09.2007
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)BURKE CENTER
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider Other Organization NameMH CASE MANAGEMENT
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code5
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address4101 S MEDFORD DR
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameLUFKIN
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameTX
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code759015633
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number9366335650
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number9366335695
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Authorized Official Last NameDUNKS
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NamePATSY
The first name of the authorized official
Authorized Official Title or PositionDIRECTOR BILLING DEPARTMENT
The title or position of the authorized official
Authorized Official Telephone Number9366335676
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1261QM0801X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Clinic/Center
Provider License Number 1H8939
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1TX
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
X

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