Organization
HEARTLAND REGIONAL MEDICAL CENTER
Active
Parent organization
HEARTLAND REGIONAL MEDICAL CENTER
Other names
Northwest Medical Center Home Health Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND REGIONAL MEDICAL CENTER
Authorized official
MR. DWAIN STILSON (CHIEF FINANCIAL OFFICER)
(816) 271-7070
Entity
Organization
Contact information
Practice address
1607 E US HIGHWAY 136, ALBANY, MO 64402-8223
(660) 726-3969
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
881
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477920627
—
MO
01
—
26-7178
MEDICARE PTAN
MO
Enumeration date
08/24/2015
Last updated
06/22/2016
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