HEARTLAND MEDICAL CLINIC, INC. (NPI# 1013462662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013462662 |
| Entity Type | Organization |
| Organization Name | HEARTLAND MEDICAL CLINIC, INC. |
| Other Organization Name | HEARTLAND COMMUNITY HEALTH CENTER |
| Practice Address |
100 E Washington St Oskaloosa KS 66066-4168 |
| Mailing Address |
346 Maine St Suite 150 Lawrence KS 66044-1393 |
| Practice Telephone | 7858417297 |
| Practice Fax Number | 7858560375 |
| Mailing Telephone | 7858417297 |
| Mailing Fax Number | 7858560375 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | ROBYN COVENTON (CEO) |
| Authorized Official Telephone | 7858417297 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEARTLAND MEDICAL CLINIC, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 04-33272 | KS | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0528427 | KS | Allopathic & Osteopathic Physicians |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200688980A | 05 |
| Other Name | Type Code |
|---|---|
| Heartland Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528683992 | Heartland Medical Clinic, Inc. | Clinic/Center | 2210 Yale Rd, Lawrence, KS 66049-2647 | 2020-06-11 |
| 1912454901 | Heartland Medical Clinic, Inc. | Family Medicine | 2801 W 31st St, Lawrence, KS 66047-3049 | 2016-09-07 |
| 1487107447 | Heartland Medical Clinic, Inc. | Family Medicine | 200 Maine St, Lawrence, KS 66044 | 2016-07-26 |
| 1669657029 | Heartland Medical Clinic, Inc. | Family Medicine | 346 Maine St Ste 150, Lawrence, KS 66044-1393 | 2008-01-04 |
| Street Address |
100 E WASHINGTON ST |
| City | OSKALOOSA |
| State | KS |
| Zip Code | 66066-4168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275617664 | Darrin L Cox | Physician Assistant | 100 E Washington St, Oskaloosa, KS 66066-4168 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386204881 | Committed Care | Assisted Living Facility | 508 Union St, Oskaloosa, KS 66066 | 2019-06-17 |
| 1275080681 | Kimberly Troupe | Pharmacist | 509 Delaware, Oskaloosa, KS 66066 | 2016-09-01 |
| 1447593983 | Lorraine Bredahl | Pharmacist | 509 Delaware St, Oskaloosa, KS 66066 | 2013-04-03 |
| 1831463280 | Kincaid Chiropractic | Chiropractor | 609 Delaware St, Oskaloosa, KS 66066 | 2012-03-02 |
| 1902001928 | Skie, Inc. | Pharmacy | 321 Jefferson, Oskaloosa, KS 66066 | 2007-06-19 |
| 1538385646 | Earl D. Mccolm, Dds, Pa | Dentist | 602 Liberty St, Oskaloosa, KS 66066 | 2007-04-17 |
| 1750456067 | Jill Ann Flessing | Social Worker | 1102 Walnut Street, Oskaloosa, KS 66066 | 2006-11-21 |
| 1245321405 | County of Jefferson | Ambulance | 1250 Walnut St, Oskaloosa, KS 66066 | 2006-09-27 |
| 1659302370 | Larry L Campbell | Family Medicine | 313 Jefferson, Oskaloosa, KS 66066 | 2006-07-05 |
| 1356370597 | Paul K Kincaid | Chiropractor | 609 Delaware, Oskaloosa, KS 66066 | 2006-07-01 |
| Find all providers in zip 66066 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1780208280 | River Hills Community Health Center Inc | Clinic/Center | 1417 A Ave E Ste 100, Oskaloosa, IA 52577-4280 | 2020-06-01 |
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| 1932579513 | Gracemed Health Clinic, Inc | Clinic/Center | 755 W. Lincoln St, Wichita, KS 67213 | 2015-09-25 |
| 1548636665 | First Care Clinic, Inc. | Clinic/Center | 208 Marc Wagner Dr, Victoria, KS 67671-9589 | 2015-08-12 |
| 1992113898 | Gracemed Health Clinic, Inc | Clinic/Center | 5000 S Clifton Ave Ste 200, Wichita, KS 67216-3408 | 2014-07-24 |
| 1043646870 | Gracemed Downing Children Clinic | Clinic/Center | 2201 E 25th St N, Building 200, Wichita, KS 67219-4714 | 2013-09-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.