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Contact Information

HEARTLAND ALLIANCE HEALTH
4009 N BROADWAY ST
CHICAGO, IL60613-2110
 Phone: 773-275-2586
 Fax: 773-751-4175
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Case Management

251B00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for HEARTLAND ALLIANCE HEALTH

NPI # 1538294483
LBN Legal business name HEARTLAND ALLIANCE HEALTH
Authorized official JIMMY VALENTIN - (SR. DIRECTOR, HEALTH INFORMATION SY)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2007
Last updated 04/01/2024 - 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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