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Contact Information

HEARTLAND ONCOLOGY & HEMATOLOGY, PLLC
1 EDMUNDSON PL
SUITE 100
COUNCIL BLUFFS, IA51503-4658
 Phone: 712-322-4136
 Fax: 712-322-8129
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HEARTLAND ONCOLOGY & HEMATOLOGY, PLLC

NPI Number 1386674786
LBN Legal business name HEARTLAND ONCOLOGY & HEMATOLOGY, PLLC
Authorized official PENNY MALCOM - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2006
Last updated 10/06/2015 - About 11 years ago
Identifiers
IA License # 9701
IA Medicaid 0197939
IA Other G9534 RR MEDICARE
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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