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HEARTLAND COMMUNITY HEALTH CLINIC NPI 1568883718


NPI Information

NPI: 1568883718
Provider Name: HEARTLAND COMMUNITY HEALTH CLINIC

Other Name: RESIDENCY TRAINING CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1800 N KNOXVILLE AVE STE A
PEORIA, IL
ZIP 61603
Phone: (309) 680-7600
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HEARTLAND COMMUNITY HEALTH CLINIC is a federally qualified health center (fqhc) clinic center in Peoria, IL. HEARTLAND COMMUNITY HEALTH CLINIC NPI is 1568883718. The provider is registered as an organization entity type.
The provider Other Name Is Residency Training Clinic.

The provider's business location address is:

1800 N KNOXVILLE AVE STE A
PEORIA, IL
ZIP 61603-005
Phone: (309) 680-7600
Fax: (309) 495-8614

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 12/13/2013 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/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

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