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HEARTLAND HEMATOLOGY & ONCOLOGY P.C. NPI 1609895713


NPI Information

NPI: 1609895713
Provider Name: HEARTLAND HEMATOLOGY & ONCOLOGY P.C.
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 28D0979107

Address:
412 W 42ND ST
KEARNEY, NE
ZIP 68845
Phone: (308) 865-2303
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HEARTLAND HEMATOLOGY & ONCOLOGY P.C. is a hematology and oncology internal medicine in Kearney, NE. 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 HEMATOLOGY & ONCOLOGY P.C. NPI is 1609895713. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

412 W 42ND ST
KEARNEY, NE
ZIP 68845-401
Phone: (308) 865-2303
Fax: (308) 865-2304

The provider's authorized official is Judy A Main .
The authorized official title is Rn/office Manager and has the following contact phone number (308) 865-2303.

The CLIA number assigned to this NPI record is 28D0979107 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 1/31/2012.


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 & Oncology18931NEBRASKAYes

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
1G45075MEDICARE UPINNEBRASKA
2099386MEDICARE ID-TYPE UNSPECIFIEDNEBRASKAGROUP
3276763MEDICARE ID-TYPE UNSPECIFIEDNEBRASKAPROVIDER
410025001100MEDICAIDNEBRASKA

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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