Organization
HEARTLAND FAMILY HEALTH & CHIROPRACTIC CLINIC, INC.
Active
Other names
Heartland Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY J CAMENZIND D.C. (PRESIDENT)
(402) 721-1060
Entity
Organization
Contact information
Practice address
1715 N BELL ST, OPTIONAL, FREMONT, NE 68025-3158
(402) 721-1060
(402) 727-4761
Mailing address
1861 E 23RD ST, FREMONT, NE 68025-2437
(402) 721-1060
(402) 727-4761
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1023
NE
111N00000X
Chiropractor
1063
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36612
BCBS PROVIDER NUMBER
NE
01
—
36613
BCBS PROVIDER NUMBER
NE
05
—
=========
—
NE
Enumeration date
03/09/2007
Last updated
11/25/2020
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