Organization
HEARTLAND RURAL HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM KEIM (ASSISTANT CEO)
(618) 998-7019
Entity
Organization
Contact information
Practice address
3331 W DEYOUNG ST, SUITE 207, MARION, IL 62959-5896
(618) 985-9140
Mailing address
PO BOX 504392, SAINT LOUIS, MO 63150-0001
(618) 985-9140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36-059507
IL
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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