Heartland Family Physicains Clinic

LBN: Heartland Family Physicains Clinic
Heartland Family Physicains Clinic is an health care organization with primary practice located at 2130 E Jackson Blvd , Jackson MO 63755-2907. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Heartland Family Physicains Clinic can be contacted via phone (573) 243-3115, or through Icaza, Ramiro via phone 57352433115.

Contact Information

Primary practice address
2130 E Jackson Blvd Jackson MO 63755-2907
Phone: (573) 243-3115
Fax: (573) 243-4700
Website:
Map and Directions
Authorized official contact:
Name: Icaza, Ramiro Doctor of Medicine (MD)
Phone: 57352433115

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MDR7D79 Missouri

Profile Details

NPI number 1205966645
LBN Legal business name Heartland Family Physicains Clinic
DBA Doing business as
Authorized official Icaza, Ramiro Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Sep 22nd, 2010 - about 14 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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