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Contact Information

GRAND HEART, LLC
2605 N LEBANON ST
LEBANON, IN46052-1476
 Phone: 414-429-5125
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GRAND HEART, LLC

NPI Number 1487422481
LBN Legal business name GRAND HEART, LLC
Authorized official CHAD BONHOMME - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2023
Last updated 12/20/2023 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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