Heartland Pediatric Clinic

LBN: Heartland Pediatric Clinic
Heartland Pediatric Clinic is an health care organization with primary practice located at 1000 W Deyoung St , Marion IL 62959-1630. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Heartland Pediatric Clinic can be contacted via phone (618) 993-5274, or through Lopez, Luis Alberto via phone (618) 993-5274.

Contact Information

Primary practice address
1000 W Deyoung St Marion IL 62959-1630
Phone: (618) 993-5274
Fax: (618) 999-0639
Website:
Map and Directions
Authorized official contact:
Name: Lopez, Luis Alberto Doctor of Medicine (MD)
Phone: (618) 993-5274

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1053413740
LBN Legal business name Heartland Pediatric Clinic
DBA Doing business as
Authorized official Lopez, Luis Alberto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2006
Last updated Sep 1st, 2020 - about 4 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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