HEARTLAND INTERNATIONAL HEALTH CENTER NPI 1548634991

NPI Information

NPI: 1548634991
Provider Name: HEARTLAND INTERNATIONAL HEALTH CENTER

Doing Business As: HEARTLAND HEALTH CENTER ALBANY PARK

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
3737 W LAWRENCE AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 366-7777
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HEARTLAND INTERNATIONAL HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Chicago, IL. HEARTLAND INTERNATIONAL HEALTH CENTER NPI is 1548634991. The provider is registered as an organization entity type.
The provider Is Doing Business As Heartland Health Center Albany Park.

The provider's business location address is:

3737 W LAWRENCE AVE
CHICAGO, IL
ZIP 60625-746
Phone: (773) 366-7777
Fax: (773) 336-7778

The provider's authorized official is Gwenn Rausch .
The authorized official title is Ceo and has the following contact phone number (773) 296-7587.

The CLIA number assigned to this NPI record is 14D1073243 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/23/2015 and was last updated on 12/8/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally 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: 11/14/2023

NPI Synchronization or Removal

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