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Contact Information

HEARTLAND MEDIVAN
31566 469TH AVE
BURBANK, SD57010-7028
 Phone: 605-205-0061
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for HEARTLAND MEDIVAN

NPI # 1548510456
LBN Legal business name HEARTLAND MEDIVAN
Authorized official TIM NIKKEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/18/2012
Last updated 09/18/2012 - About 14 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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