Heartland Healthcare Pc

LBN: Heartland Healthcare Pc
Heartland Healthcare Pc is an health care organization with primary practice located at 327 S.9Th St , Griffin GA 30224-4111. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Other Service Providers / Specialist. Other Service Providers / Legal Medicine is the primary health care specialty. Heartland Healthcare Pc can be contacted via phone (770) 233-9293, or through Kelley, Laurie Ann via phone (770) 233-9293.

Contact Information

Primary practice address
327 S.9Th St Griffin GA 30224-4111
Fax: (770) 233-0998
Website:
Authorized official contact:
Name: Kelley, Laurie Ann

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 044231 Georgia
Other Service Providers / Specialist 174400000X 031590 Georgia

Profile Details

NPI number 1407902638
LBN Legal business name Heartland Healthcare Pc
DBA Doing business as Heartland Healthcare Pc
Authorized official Kelley, Laurie Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Aug 22nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407902638 NPPES
Georgia MEDICAID 00828055G
Georgia MEDICAID 00828055F

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