Residency Training Clinic

LBN: Heartland Community Health Clinic
Residency Training Clinic is an health care organization with primary practice located at 1800 N Knoxville Ave Ste A , Peoria IL 61603-3005. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Heartland Community Health Clinic can be contacted via phone (309) 680-7600, or through Adams, Sharon A via phone (309) 680-7665.

Contact Information

Primary practice address
1800 N Knoxville Ave Ste A Peoria IL 61603-3005
Phone: (309) 680-7600
Fax: (309) 495-8614
Website:
Map and Directions
Authorized official contact:
Name: Adams, Sharon A
Phone: (309) 680-7665

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1568883718
LBN Legal business name Heartland Community Health Clinic
DBA Doing business as Residency Training Clinic
Authorized official Adams, Sharon A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2013
Last updated Mar 12th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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