HEARTLAND ALLIANCE HEALTH; NPI #1851828198

Contact Information

HEARTLAND ALLIANCE HEALTH

5501 S HALSTED ST
CHICAGO, IL 60621-2229

Phone: 773-275-2586
Fax:
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

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NPI Profile & details for HEARTLAND ALLIANCE HEALTH

NPI #	`1851828198`
LBN Legal business name	HEARTLAND ALLIANCE HEALTH
Authorized official	EDWARD STELLON - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/17/2017
Last updated	10/15/2020 - About 6 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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