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)
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—
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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