HEARTLAND REGIONAL MEDICAL CENTER (NPI# 1396155636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396155636 |
| Entity Type | Organization |
| Organization Name | HEARTLAND REGIONAL MEDICAL CENTER |
| Other Organization Name | MOSAIC LIFE CARE IMAGING CENTER |
| Practice Address |
8880 Ne 82nd Ter Kansas City MO 64158-1313 |
| Mailing Address |
5325 Faraon St Saint Joseph MO 64506-3488 |
| Practice Telephone | 8164378219 |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | MRS. CINDY G. PATTERSON (REIMBURSEMENT SPECIALIST) |
| Authorized Official Telephone | 8162717861 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEARTLAND REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Mosaic Life Care Imaging Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942868963 | Heartland Regional Medical Center | Home Health | 2332 S Main St Ste A, Maryville, MO 64468-3622 | 2019-06-04 |
| 1023428281 | Heartland Regional Medical Center | Clinic/Center | 8860 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2014-04-28 |
| 1841385093 | Heartland Regional Medical Center | Rehabilitation Unit | 5325 Faraon, Saint Joseph, MO 64506-3398 | 2006-10-04 |
| 1649838665 | Heartland Regional Medical Center | Hospice Care, Community Based | 2332 S Main St Ste A, Maryville, MO 64468-3622 | 2019-06-04 |
| 1477920627 | Heartland Regional Medical Center | Home Health | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2015-08-24 |
| 1770904393 | Heartland Regional Medical Center | Radiologic Technologist | 6301 N Lucerne Ave, Kansas City, MO 64151-3105 | 2013-12-27 |
| 1336491695 | Heartland Regional Medical Center | Clinic/Center | 6301 N Lucerne Ave, Kansas City, MO 64151-3105 | 2012-10-11 |
| 1053600106 | Heartland Regional Medical Center | Family Medicine | 4201 N Belt Hwy, Store 560, Saint Joseph, MO 64506-1299 | 2011-03-29 |
| 1881859627 | Heartland Regional Medical Center | Radiology | 802 N Riverside Rd, Ste 150, Saint Joseph, MO 64507-2502 | 2008-07-22 |
| 1063677961 | Heartland Regional Medical Center | Radiologic Technologist | 6301 N Lucerne Ave, 8880 Ne 82nd Terrace, Kansas City, Mo 64158, Kansas City, MO 64151-3105 | 2008-07-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HEARTLAND REGIONAL MEDICAL CENTER | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Iowa Business Entities | HEARTLAND REGIONAL MEDICAL CENTER | 5325 Faraon, St Joseph, MO 64506 |
| Street Address |
8880 NE 82ND TER |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64158-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063481901 | Greg Tracy Goertzen | Occupational Therapist | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2006-03-14 |
| 1588151674 | Saint Luke's Neighborhood Clinics, LLC | Family Medicine | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2018-04-16 |
| 1982138574 | Angie Schreck | Occupational Therapist | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2017-04-20 |
| 1770029449 | Brian James Walstrom | Physical Therapy Assistant | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2017-01-18 |
| 1447606355 | Dianna Sinni | Dietitian, Registered | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2016-05-10 |
| 1629424536 | Cara Leigh Harbstreet | Dietitian, Registered | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2016-05-10 |
| 1215310131 | Lisa Rossow | Occupational Therapist | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2015-07-09 |
| 1750764684 | Beau Sigrist | Physical Therapy Assistant | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2015-07-09 |
| 1255714176 | Matthew Craine | Physical Therapist | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2015-07-09 |
| 1326421272 | Kristen Thatcher | Registered Nurse | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2015-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285118950 | Vera Whole Health, Wa PC | Clinic/Center | 8350 N. Church Road, Kansas City, MO 64158 | 2018-09-19 |
| 1083135008 | Garrett Leland Coffelt | Physical Therapist | 9223 Ne 152 Highway, Kansas City, MO 64158 | 2017-06-29 |
| 1336500537 | Danielle Leeper | Dentist | 9101 Ne 82nd Ter, Kansas City, MO 64158 | 2016-03-15 |
| 1780056135 | Bryan Watanabe Dds Liberty Dental Group PC | Dentist | 8291 N Booth Avenue, Kansas City, MO 64158 | 2015-10-26 |
| 1235551771 | Julie G. Vantasell | Nurse Practitioner | 9151 Ne 81st, Ste 105, Kansas City, MO 64158 | 2014-01-17 |
| 1942551247 | Kansas City Surgical Arts LLC | Dentist | 8080 North Flintlock Road, Kansas City, MO 64158 | 2012-09-26 |
| 1558659920 | Massage Heights Shoal Creek | Health Maintenance Organization | 9225 Ne 152 Hwy, Liberty, MO 64158 | 2011-07-19 |
| 1245427954 | Maureen Graham Giraldo | Social Worker | 9601 Ne Barry Rd Ste 220, Kansas City, MO 64158 | 2007-09-26 |
| 1861695090 | D. Scott Thomas | Dentist | 9051 Ne 81st Terrace, Suite 220, Kansas City, MO 64158 | 2007-06-06 |
| 1538262688 | Richard Bradley Gaik | Dentist | 8568 N Church Rd, Kansas City, MO 64158 | 2006-09-06 |
| Find all providers in zip 64158 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043539190 | Home Oximetry and Sleep Testing of Missouri | Physiological Laboratory | 1720 Kansas Ave, Kansas City, MO 64127-2628 | 2010-05-27 |
| 1265442990 | Tremont Sleep Disorder Clinic LLC | Physiological Laboratory | 5501 Nw 62nd Ter, Suite 202, Kansas City, MO 64151-2411 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760855043 | Midwest Mobile Imaging | Physiological Laboratory | 408 Washington Ave Ste 130, West Plains, MO 65775-3404 | 2015-11-09 |
| 1750757415 | Mobilis Health, LLC | Physiological Laboratory | 4240 Duncan Ave, Second Floor, Saint Louis, MO 63110-1123 | 2015-08-18 |
| 1184026098 | Braincare, LLC | Physiological Laboratory | 303 N Stadium Blvd, Ste 249, Columbia, MO 65203-1493 | 2014-09-23 |
| 1730134784 | Nitelife LLC | Physiological Laboratory | 100 Sarah Ann Blvd, Troy, MO 63379-2038 | 2006-05-24 |
| 1437108842 | Biotech X-ray Inc | Physiological Laboratory | 1065 Executive Parkway Dr Ste 220, Saint Louis, MO 63141-6367 | 2006-05-10 |
| 1235194002 | Sleep Kwest, LLC | Physiological Laboratory | 101b Progress Pkwy, Sullivan, MO 63080-2359 | 2006-04-17 |
| 1710971080 | Specialized Imaging Services, Inc. | Physiological Laboratory | 9785 Mackenzie Rd, Suite 101, Saint Louis, MO 63123-5438 | 2005-09-01 |
| 1063415073 | King's Medical Imaging Creve Coeur, LLC | Physiological Laboratory | 11756 Olive Street Rd, Creve Coeur, MO 63141 | 2005-05-23 |
| 1215397153 | Missouri Diagnostic Services, LLC | Physiological Laboratory | 1517 Copper Rd, Holts Summit, MO 65043-2033 | 2016-03-04 |
| 1417325143 | Biomedical Imaging LLC | Physiological Laboratory | 3450 Bridgeland Dr, Suite F, Bridgeton, MO 63044-2605 | 2015-09-11 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64158 |
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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.