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HEARTLAND INFUSTION THERAPY NPI 1952322901


NPI Information

NPI: 1952322901
Provider Name: HEARTLAND INFUSTION THERAPY

Doing Business As: HEARTLAND INSTITUTIONAL THERAPY

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

CLIA Number: 14D1070071

Address:
415 NE SAINT MARK CT
PEORIA, IL
ZIP 61603
Phone: (309) 671-2745
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HEARTLAND INFUSTION THERAPY is a home infusion therapy pharmacy pharmacy in Peoria, IL. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. HEARTLAND INFUSTION THERAPY NPI is 1952322901. The provider is registered as an organization entity type.
The provider Is Doing Business As Heartland Institutional Therapy.

The provider's business location address is:

415 NE SAINT MARK CT
PEORIA, IL
ZIP 61603-716
Phone: (309) 671-2745
Fax: (309) 671-2581

The provider's authorized official is Robert Gestrine .
The authorized official title is Manager and has the following contact phone number (309) 671-2745.

The CLIA number assigned to this NPI record is 14D1070071 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336H0001XPharmacyHome Infusion Therapy Pharmacy0093011339ILLINOISYes

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
11470549OTHEROTHER ID NUMBER-COMMERCIAL 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: 4/28/2024

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