HEARTLAND COMMUNITY HEALTH CLINIC (NPI# 1497798607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497798607 |
| Entity Type | Organization |
| Organization Name | HEARTLAND COMMUNITY HEALTH CLINIC |
| Other Organization Name | HEARTLAND COMMUNITY HEALTH CENTER AT CARVER |
| Practice Address |
711 West John Gwynn Jr Avenue Peoria IL 61605-2270 |
| Mailing Address |
2214 N University St Peoria IL 61604-3221 |
| Practice Telephone | 3096807600 |
| Practice Fax Number | 3096712188 |
| Mailing Telephone | 3096807600 |
| Mailing Fax Number | 3096818443 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | MS. SHARON A ADAMS (CEO) |
| Authorized Official Telephone | 3096807665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Heartland Community Health Center at Carver | Doing Business As Name - Organization |
| Heartland Health Services-Carver | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922561000 | Heartland Community Health Clinic | Clinic/Center | 2116 N Sheridan Rd # 104, Peoria, IL 61604-3457 | 2019-04-07 |
| 1679048144 | Heartland Community Health Clinic | Clinic/Center | 3248 Vandever Ave Ste B, Pekin, IL 61554-6277 | 2018-10-10 |
| 1568883718 | Heartland Community Health Clinic | Clinic/Center | 1800 N Knoxville Ave Ste A, Peoria, IL 61603-3005 | 2013-12-13 |
| 1710439070 | Heartland Community Health Clinic | Clinic/Center | 3422 Court St, Pekin, IL 61554-6235 | 2016-11-02 |
| 1104276492 | Heartland Community Health Clinic | Clinic/Center | 19 Olt Ave, Pekin, IL 61554-6214 | 2016-06-16 |
| 1467658443 | Heartland Community Health Clinic | Clinic/Center | 2321 N Wisconsin Ave, Peoria, IL 61603-5613 | 2007-06-26 |
| 1336193861 | Heartland Community Health Clinic | Clinic/Center | 1701 W Garden St, Peoria, IL 61605-3531 | 2006-05-20 |
| 1396799888 | Heartland Community Health Clinic | Clinic/Center | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2006-05-20 |
| Street Address |
711 WEST JOHN GWYNN JR AVENUE |
| City | PEORIA |
| State | IL |
| Zip Code | 61605-2270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386131878 | Nicholas Anthony Helling | Physical Therapist | 518 W Romero B Garret Ave, Poeria, IL 61605 | 2018-04-19 |
| 1891241022 | Peoria Slf Lp | Assisted Living Facility | 518 West Romeo B. Garrett Avenue, Peoria, IL 61605 | 2016-08-28 |
| 1932479664 | Michelle L Whitelow | Nurse Practitioner | 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 | 2012-01-11 |
| 1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
| 1902098908 | Calvary Elderly Home Help Program | Home Health | 1709 W Lincoln Ave, Peoria, IL 61605 | 2007-08-14 |
| 1023104437 | Thomas Anderson | Optometrist | 710 W Third Avenue, Peoria, IL 61605 | 2006-10-04 |
| 1841382298 | Devashish Agarwal | Family Medicine | 1701 W. Garden Street, Peoria, IL 61605 | 2006-09-29 |
| 1497763197 | Larry T Rolle | Pharmacist | 411 Martin Luther King Dr., Peoria, IL 61605 | 2006-08-04 |
| 1568404762 | Joseph P Kelly Iv | Physical Therapist | 303 N. Kumpf Blvd, Peoria, IL 61605 | 2006-06-12 |
| 1003861634 | Patrick William Elwood | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 | 2006-05-23 |
| Find all providers in zip 61605 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922561000 | Heartland Community Health Clinic | Clinic/Center | 2116 N Sheridan Rd # 104, Peoria, IL 61604-3457 | 2019-04-07 |
| 1568883718 | Heartland Community Health Clinic | Clinic/Center | 1800 N Knoxville Ave Ste A, Peoria, IL 61603-3005 | 2013-12-13 |
| 1770991291 | Adelante Healthcare, Inc. | Clinic/Center | 15525 N 83rd Ave Ste 104, Peoria, AZ 85382-5820 | 2014-07-28 |
| 1467658443 | Heartland Community Health Clinic | Clinic/Center | 2321 N Wisconsin Ave, Peoria, IL 61603-5613 | 2007-06-26 |
| 1336193861 | Heartland Community Health Clinic | Clinic/Center | 1701 W Garden St, Peoria, IL 61605-3531 | 2006-05-20 |
| 1396799888 | Heartland Community Health Clinic | Clinic/Center | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2006-05-20 |
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|---|---|---|---|---|
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| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
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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.