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HEARTLAND ONCOLOGY & HEMATOLOGY PLLC NPI 1386674786


NPI Information

NPI: 1386674786
Provider Name: HEARTLAND ONCOLOGY & HEMATOLOGY, PLLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 16D2180066

Address:
1 EDMUNDSON PL
SUITE 100
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 322-4136
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HEARTLAND ONCOLOGY & HEMATOLOGY, PLLC is a hematology and oncology internal medicine in Council Bluffs, IA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. HEARTLAND ONCOLOGY & HEMATOLOGY, PLLC NPI is 1386674786. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 EDMUNDSON PL
SUITE 100
COUNCIL BLUFFS, IA
ZIP 51503-658
Phone: (712) 322-4136
Fax: (712) 322-8129

The provider's authorized official is Penny A. Malcom .
The authorized official title is Administrator and has the following contact phone number (712) 322-4136.

The CLIA number assigned to this NPI record is 16D2180066 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 10/6/2015.


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
1207RH0003XInternal MedicineHematology & Oncology9701IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G9534OTHERIOWARR MEDICARE
203662MEDICARE UPINIOWA
30197939MEDICAIDIOWA

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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