HEARTLAND PHYSICIAN SERVICES LLC NPI 1669585766

NPI Information

  • NPI: 1669585766
  • Provider Name: HEARTLAND PHYSICIAN SERVICES, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: KANSAS CITY FAMILY MEDICAL CARE
  • CLIA Number: 26D0881059
  • Address: 1004 CARONDELET DR
    STE 300A
    KANSAS CITY, MO
    ZIP 64114
  • Phone: (816) 941-9030

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NPI Details

HEARTLAND PHYSICIAN SERVICES, LLC is a family medicine in Kansas City, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HEARTLAND PHYSICIAN SERVICES, LLC NPI is 1669585766. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kansas City Family Medical Care.

The provider's business location address is:

1004 CARONDELET DR
STE 300A
KANSAS CITY, MO
ZIP 64114-801
Phone: (816) 941-9030
Fax: (816) 941-3866

The provider's authorized official is Pam Gavin .
The authorized official title is Practice Manager and has the following contact phone number (816) 941-9030.

The CLIA number assigned to this NPI record is 26D0881059 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 6/5/2014.

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
1207Q00000XFamily Medicine101923MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MA4728OTHERMISSOURIMEDICARE PTAN
2M220000MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMEDICARE PROVIDER NUMBER

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: 11/21/2025

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