Organization
HEARTLAND HEALTH CENTER, INC.
Active
Organization
HEARTLAND HEALTH CENTER, INC.
Active
Other names
Heartland Health Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI R. FORD-WOLFGRAM LCSW (CEO)
(308) 382-4297
Entity
Organization
Contact information
Practice address
2116 W FAIDLEY AVE STE 2100, GRAND ISLAND, NE 68803-4678
(308) 382-4297
(308) 382-4376
Mailing address
2116 W FAIDLEY AVE STE 2100, GRAND ISLAND, NE 68803-4678
(308) 382-4297
(308) 382-4376
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
HC069
NE
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100263881-00
—
NE
Enumeration date
12/17/2013
Last updated
03/28/2022
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