Organization
HEARTLAND MEDICAL CLINIC, INC
Active
Other names
Heartland @ Panda Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BRANSTROM (CEO)
(785) 841-7297
Entity
Organization
Contact information
Practice address
1803 W 6TH ST, LAWRENCE, KS 66044-1710
(785) 841-7297
(785) 856-0375
Mailing address
1312 W 6TH ST, LAWRENCE, KS 66044-2219
(785) 841-7297
(785) 856-0375
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
09/30/2025
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