HEARTLAND HEALTH CENTER, INC.; NPI #1275954299

Contact Information

HEARTLAND HEALTH CENTER, INC.

2116 W FAIDLEY AVE STE 2100
GRAND ISLAND, NE 68803-4678

Phone: 308-382-4297
Fax: 308-382-4376
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for HEARTLAND HEALTH CENTER, INC.

NPI # 1275954299

LBN Legal business name HEARTLAND HEALTH CENTER, INC.

Authorized official TERRI FORD-WOLFGRAM - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/17/2013

Last updated 03/28/2022 - About 4 years ago

Identifiers

NE	License #	HC069
NE	Medicaid	100263881-00

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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