Heartland Infusion

LBN: Heartland Infusion
Heartland Infusion is an health care organization with primary practice located at 9943 Kingston Pike , Knoxville TN 37922-6923. The organization recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as the primary health care specialty. Heartland Infusion can be contacted via phone (865) 862-4557, or through Wall, Charles Ray via phone (865) 689-9778.

Contact Information

Primary practice address
9943 Kingston Pike Knoxville TN 37922-6923
Phone: (865) 862-4557
Fax: (865) 862-4556
Website:
Map and Directions
Authorized official contact:
Name: Wall, Charles Ray
Phone: (865) 689-9778

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X

Profile Details

NPI number 1174007538
LBN Legal business name Heartland Infusion
DBA Doing business as
Authorized official Wall, Charles Ray
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2018
Last updated Mar 2nd, 2021 - about 3 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 1174007538 NPPES
Tennessee Other 0575 LOCAL PART B
Tennessee MEDICAID 1534157 LOCAL PART B

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