HEARTLAND COMMUNITY HEALTH CLINIC NPI 1497798607

NPI Information

HEARTLAND COMMUNITY HEALTH CLINIC is a federally qualified health center (fqhc) clinic center in Peoria, IL. HEARTLAND COMMUNITY HEALTH CLINIC NPI is 1497798607. The provider is registered as an organization entity type.
The provider Is Doing Business As Heartland Community Health Center At Carver.

The provider's business location address is:

711 WEST JOHN GWYNN JR AVENUE
PEORIA, IL
ZIP 61605-270
Phone: (309) 680-7600
Fax: (309) 671-2188

The provider's authorized official is Sharon A Adams .
The authorized official title is Ceo and has the following contact phone number (309) 680-7665.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 3/12/2022.

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:

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