Provider Demographics
NPI:1396997466
Name:PHIPPSBURGER INC
Entity type:Organization
Organization Name:PHIPPSBURGER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-223-1679
Mailing Address - Street 1:8555 HARBACH BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-1056
Mailing Address - Country:US
Mailing Address - Phone:515-223-1679
Mailing Address - Fax:515-267-1412
Practice Address - Street 1:8555 HARBACH BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-1056
Practice Address - Country:US
Practice Address - Phone:515-223-1679
Practice Address - Fax:515-267-1412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health