Lakeside Pediatrics

LBN: Heartland Regional Medical Center
Lakeside Pediatrics is an health care organization with primary practice located at 902 N Riverside Rd Suite 100, Saint Joseph MO 64507-2559. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Heartland Regional Medical Center can be contacted via phone (816) 271-1351, or through Wilson, John via phone (816) 271-6611.

Contact Information

Primary practice address
902 N Riverside Rd Suite 100 Saint Joseph MO 64507-2559
Phone: (816) 271-1351
Fax: (816) 271-1355
Website:
Map and Directions
Authorized official contact:
Name: Wilson, John
Phone: (816) 271-6611

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD116083 Missouri

Profile Details

NPI number 1245390160
LBN Legal business name Heartland Regional Medical Center
DBA Doing business as Lakeside Pediatrics
Authorized official Wilson, John
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Jun 30th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245390160 NPPES
Missouri MEDICAID 540156809

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