HEARTLAND MEMORIAL HOSPITAL LLC NPI 1023017423

NPI Information

NPI: 1023017423
Provider Name: HEARTLAND MEMORIAL HOSPITAL, LLC

Former Legal Business Name: ILLIANA SURGERY AND MEDICAL CENTER, LLC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
315 W 89TH AVE
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 757-5275
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HEARTLAND MEMORIAL HOSPITAL, LLC is an ambulatory surgical clinic center in Merrillville, IN. HEARTLAND MEMORIAL HOSPITAL, LLC NPI is 1023017423. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Illiana Surgery And Medical Center, Llc.

The provider's business location address is:

315 W 89TH AVE
MERRILLVILLE, IN
ZIP 46410-254
Phone: (219) 757-5275
Fax: (219) 757-5290

The provider's authorized official is Jeffrey Yessenow .
The authorized official title is Ceo and has the following contact phone number (219) 922-4200.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical		INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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