Organization
HEART CENTER PC
Active
Other names
The Heart Center, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS HARTLEY III (PRESIDENT)
(256) 539-4080
Entity
Organization
Contact information
Practice address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 519-8327
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 519-8327
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02858351
—
MS
01
—
3036416
TN BCBS GROUP NUMBER
TN
05
—
3710483
—
TN
05
—
529602280
—
AL
01
—
CC2893
RAILROAD MEDICARE GROUP #
—
Enumeration date
01/30/2006
Last updated
04/22/2009
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