HEARTLAND MEDICAL CLINIC INC. NPI 1912454901

NPI Information

HEARTLAND MEDICAL CLINIC, INC. is a federally qualified health center (fqhc) clinic center in Lawrence, KS. HEARTLAND MEDICAL CLINIC, INC. NPI is 1912454901. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Heartland Community Health Center.

The provider's business location address is:

2801 W 31ST ST
LAWRENCE, KS
ZIP 66047-049
Phone: (785) 841-7297
Fax: (785) 856-0375

The provider's authorized official is Robyn Coventon .
The authorized official title is Ceo and has the following contact phone number (785) 841-7297.

The enumeration date for this NPI number is 9/7/2016 and was last updated on 7/16/2019.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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