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HEARTLAND INTERNATIONAL HEALTH CENTER NPI 1669713343


NPI Information

NPI: 1669713343
Provider Name: HEARTLAND INTERNATIONAL HEALTH CENTER

Doing Business As: HEARTLAND HEALTH CENTER-BROADWAY

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
5710 N BROADWAY ST
CHICAGO, IL
ZIP 60660
Phone: (773) 296-7544
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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 1669713343. The provider is registered as an organization entity type.
The provider Is Doing Business As Heartland Health Center-broadway.

The provider's business location address is:

5710 N BROADWAY ST
CHICAGO, IL
ZIP 60660-302
Phone: (773) 296-7544
Fax: (773) 296-7637

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 enumeration date for this NPI number is 3/6/2013 and was last updated on 7/22/2013.


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: 11/14/2023

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