Provider Demographics
NPI:1285913335
Name:BURLINGTON URGENT CARE INC.
Entity type:Organization
Organization Name:BURLINGTON URGENT CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:TAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-572-5843
Mailing Address - Street 1:2700 MT. PLEASANT STREET
Mailing Address - Street 2:STE 32B
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601
Mailing Address - Country:US
Mailing Address - Phone:319-752-8234
Mailing Address - Fax:319-752-8244
Practice Address - Street 1:2700 MT. PLEASANT STREET
Practice Address - Street 2:STE 32B
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601
Practice Address - Country:US
Practice Address - Phone:319-752-8234
Practice Address - Fax:319-752-8244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAURGENTCARE171W00000X
IA261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No171W00000XOther Service ProvidersContractorGroup - Single Specialty