HEARTLAND FAMILY SERVICE NPI 1285793349

NPI Information

NPI: 1285793349
Provider Name: HEARTLAND FAMILY SERVICE

Former Legal Business Name: FAMILY SERVICE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
107 NO 4TH AVENUE
#819
LOGAN, IA
ZIP 51546
Phone: (712) 644-2946
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HEARTLAND FAMILY SERVICE is a mental health (including community mental health center) clinic center in Logan, IA. HEARTLAND FAMILY SERVICE NPI is 1285793349. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Family Service.

The provider's business location address is:

107 NO 4TH AVENUE
#819
LOGAN, IA
ZIP 51546
Phone: (712) 644-2946
Fax: (712) 644-2207

The provider's authorized official is Peter Tulipana .
The authorized official title is President Ceo and has the following contact phone number (402) 552-7402.

The CLIA number assigned to this NPI record is 16D2180070 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2006 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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes
2	261QM0850X	Clinic/Center	Adult Mental Health	X
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	X

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: 5/5/2024

NPI Synchronization or Removal

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