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Organization

HEARTLAND MEDICAL CLINIC, INC.

Active
Other names
Heartland Community Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE BRANSTROM (CEO)
(785) 841-7297
Entity
Organization

Contact information

Practice address
1312 W 6TH ST, LAWRENCE, KS 66044-2219
(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
207Q00000X
Family Medicine Physician
KS
207Q00000X
Family Medicine Physician
208000000X
Pediatrics Physician
KS
208000000X
Pediatrics Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200688980A
KS
05
30003936890001
KS
Enumeration date
07/26/2016
Last updated
05/08/2026
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