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HEARTLAND MEDICAL CLINIC INC NPI 1356941306


NPI Information

NPI: 1356941306
Provider Name: HEARTLAND MEDICAL CLINIC, INC

Other Name: HEARTLAND @ PANDA PEDIATRICS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1803 W 6TH ST
LAWRENCE, KS
ZIP 66044
Phone: (785) 841-7297
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HEARTLAND MEDICAL CLINIC, INC is a federally qualified health center (fqhc) clinic center in Lawrence, KS. HEARTLAND MEDICAL CLINIC, INC NPI is 1356941306. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Heartland @ Panda Pediatrics.

The provider's business location address is:

1803 W 6TH ST
LAWRENCE, KS
ZIP 66044-710
Phone: (785) 841-7297
Fax: (785) 856-0375

The provider's authorized official is Julie Boden-schmidt .
The authorized official title is Ceo and has the following contact phone number (405) 635-5694.

The enumeration date for this NPI number is 10/29/2020 and was last updated on 9/2/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.