HEARTLAND ALLIANCE HEALTH NPI 1851828198

NPI Information

NPI: 1851828198
Provider Name: HEARTLAND ALLIANCE HEALTH

Former Legal Business Name: HEARTLAND HEALTH OUTREACH, INC.

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
5501 S HALSTED ST
CHICAGO, IL
ZIP 60621
Phone: (773) 275-2586
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HEARTLAND ALLIANCE HEALTH is a federally qualified health center (fqhc) clinic center in Chicago, IL. HEARTLAND ALLIANCE HEALTH NPI is 1851828198. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Heartland Health Outreach, Inc..

The provider's business location address is:

5501 S HALSTED ST
CHICAGO, IL
ZIP 60621-229
Phone: (773) 275-2586

The provider's authorized official is Edward Stellon .
The authorized official title is Executive Director and has the following contact phone number (312) 405-0802.

The enumeration date for this NPI number is 5/17/2017 and was last updated on 10/15/2020.

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 State	Primary
1	251B00000X	Case Management		ILLINOIS	No
2	251S00000X	Community/Behavioral Health			No
3	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

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