Heartland Medical Center Llc
LBN: Heartland Medical Center Llc
Heartland Medical Center Llc is an health care organization with primary practice located at 5032 N Illinois St Suite B, Fairview Heights IL 62208-3415. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Heartland Medical Center Llc can be contacted via phone (618) 416-9005, or through Umoru, Benedicta via phone (618) 416-9005.
Contact Information
Primary practice address
5032 N Illinois St Suite B
Fairview Heights IL 62208-3415
Phone: (618) 416-9005
Fax: (618) 641-9452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036100162 | Illinois |
Profile Details
| NPI number | 1912927351 |
|---|---|
| LBN Legal business name | Heartland Medical Center Llc |
| DBA Doing business as | |
| Authorized official | Umoru, Benedicta Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | May 13th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912927351 | NPPES |
| Other | DD7462 | RR MEDICARE | |
| MEDICAID | 036100162 | RR MEDICARE | |
| Other | 08232145 | RR MEDICARE |
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