Organization
HEARTLAND HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI WILCOX (FINANCIAL DIRECTOR)
(308) 382-4297
Entity
Organization
Contact information
Practice address
3327 W CAPITAL AVE, GRAND ISLAND, NE 68803-1334
(308) 382-4297
(308) 382-4376
Mailing address
3307 W CAPITAL AVE, GRAND ISLAND, NE 68803-1334
(308) 382-4297
(308) 382-4376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
HC069
NE
261QF0400X
Federally Qualified Health Center (FQHC)
HC069
NE
Other
Enumeration date
09/29/2015
Last updated
08/15/2016
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