OrganizationActive
Burgess Family Healthcare, LLC
NPI 1619479276 · Primary Care Clinic/Center · Valliant, OK
Provider details
- NPI number
- 1619479276
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Chabon Burgess, Owner/Manager(580) 933-9024
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physiological Laboratory293D00000X
Laboratories
Practice location
508 E Wilson St
Valliant, OK 74764-9115
Phone: (580) 933-9024
Fax: (833) 382-0111
Approximate (ZIP-level) locationGet directions
Mailing address
508 E Wilson St
Valliant, OK 74764-9115
Registry dates
- Enumerated
- 2018-02-28
- Last updated
- 2022-04-20
- Certified
- 2022-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.