HEARTLAND ALLIANCE HEALTH; NPI #1578724738

Contact Information

HEARTLAND ALLIANCE HEALTH

4730 N WINTHROP
CHICAGO, IL 60640-7528

Phone: 773-506-1548
Fax: 773-506-1573
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Case Management	251B00000X
Community/Behavioral Health	251S00000X

Indicates primary specialty

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NPI Profile & details for HEARTLAND ALLIANCE HEALTH

NPI Number 1578724738

LBN Legal business name HEARTLAND ALLIANCE HEALTH

Authorized official EDWARD STELLON - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/20/2008

Last updated 04/27/2020 - About 6 years ago

Identifiers

IL	License #	021
IL	Medicaid	021

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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